| BCBS Florida Coverage Guidelines | Lomitapide (Juxtapid®) Oral (09-J1000-92) | 2020-01-01 |
| BCBS Florida Coverage Guidelines | Pyridoxine HCl Injection (vitamin B6) (09-J1000-65) | 2020-01-01 |
| BCBS Massachusetts | Methadone Treatment and Intensive Detoxification or Ultra-Rapid Detoxification for Opiate Addiction | 2020-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | CHIP – Medical Necessity Definition | 2020-01-01 |
| BCBS Highmark Penn Medicare Advantage | Facial Prostheses | 2020-01-01 |
| BCBS Highmark Penn Medicare Advantage | Eye Prosthesis | 2020-01-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Home Telemonitoring Services | 2020-01-01 |
| BCBS Highmark Penn Medicare Advantage | Vacuum Erection Devices | 2019-12-31 |
| BCBS Highmark Penn Medicare Advantage | Cold Therapy | 2019-12-31 |
| BCBS Highmark Penn Medicare Advantage | Tumor Treatment Field Therapy | 2019-12-31 |