| Buckeye Health Plan Ohio Medicaid Clinical | Mechanical Stretching Devices for Joint Stiffness | 2025-10-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Nerve Blocks and Neurolysis for Pain Management | 2025-10-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Osteogenic Stimulation | 2025-10-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Phototherapy for Neonatal Hyperbilirubinemia | 2025-10-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Repair of Nasal Valve Compromise | 2025-10-01 |
| BCBS Premera WA AK Clinical | 3.01.522 Wilderness Therapy/Outdoor Behavioral Healthcare Residential... | 2025-10-01 |
| Medical Mutual | Amtagvi® (lifileucel) (Intravenous) (EOV) | 2025-10-01 |
| Medical Mutual | Carvykti® (ciltacabtagene autoleucel) (Intravenous) (EOV) | 2025-10-01 |
| Medical Mutual | Kimmtrak® (tebentafusp-tebn) (Intravenous) (EOV) | 2025-10-01 |
| Medical Mutual | Mandatory Drug Wastage Program | 2025-10-01 |