| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Olezarsen | 2025-12-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Perampanel | 2025-12-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Perampanel | 2025-12-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Pregabalin | 2025-12-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Pregabalin | 2025-12-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Step Therapy | 2025-12-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Teplizumab-mzwv | 2025-12-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Step Therapy | 2025-12-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Teplizumab-mzwv | 2025-12-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Tiopronin Delayed-Release | 2025-12-01 |