| Ambetter Health Texas Superior Marketplace Clinical | Fibrinogen Concentrate (Human), Fibrinogen, Human-chmt | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Fingolimod | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Fosdenopterin | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Repository Corticotropin Injection | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Retifanlimab-dlwr | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Rilonacept | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | RimabotulinumtoxinB | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Sacituzumab Govitecan-hziy | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Sipuleucel-T | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Sodium Dichloroacetate | 2025-05-01 |