| Aetna | Inotuzumab Ozogamicin (Besponsa) | 2025-05-13 |
| Aetna | Prescription Digital Therapeutics | 2025-05-13 |
| Aetna | Motixafortide (Aphexda) | 2025-05-13 |
| Aetna | Exagamglogene Autotemcel (Casgevy) | 2025-05-13 |
| Aetna | Nogapendekin Alfa Inbakicept-pmln (Anktiva) | 2025-05-13 |
| Aetna | Crovalimab-akkz (PiaSky) | 2025-05-13 |
| BCBS Kansas | Germline Genetic Testing for Hereditary Breast/Ovarian Cancer Syndrome and Other High-Risk Cancers (BRCA1, BRCA2, PALB2) | 2025-05-13 |
| Meridian Illinois Medicaid Clinical | Crisaborole (Eucrisa) | 2025-05-13 |
| Meridian Illinois Medicaid Clinical | Pitolisant (Wakix) | 2025-05-13 |
| Medical Mutual | Cochlear Implants for Bilateral and Single-Sided Annual Review Date: | 2025-05-13 |