| BCBS Highmark West Virginia | Speech Generating Devices | 2025-05-05 |
| BCBS Highmark West Virginia | Prescription Digital Therapeutics | 2025-05-05 |
| BCBS Highmark West Virginia | Treatment of Benign or Premalignant Skin Conditions | 2025-05-05 |
| BCBS Highmark West Virginia | Hematopoietic Cell Transplantation: Experimental/Investigational Services | 2025-05-05 |
| BCBS Highmark West Virginia | Tisotumab vedotin-tftv (Tivdak) | 2025-05-05 |
| Meridian Illinois Medicaid Clinical | Peginterferon Beta-1a | 2025-05-05 |
| Medical Mutual | Amondys 45® (casimersen) (Intravenous) | 2025-05-05 |
| Medical Mutual | Ryplazim® (plasminogen, human-tvmh) (Intravenous) | 2025-05-05 |
| Medical Mutual | Vyondys 53® (golodirsen) (Intravenous) | 2025-05-05 |
| BCBS Highmark Delaware | Prescription Digital Therapeutics | 2025-05-05 |