| Ambetter Health Texas Superior Marketplace Clinical | Burn Surgery | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Hyperhidrosis Treatments | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Implantable Intrathecal or Epidural Pain Pump | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Orthognathic Surgery | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Proton and Neutron Beam Therapies | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Urinary Incontinence Devices and Treatments | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Abemaciclib | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Aceclidine | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Acyclovir Buccal Tablet | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Adefovir | 2025-11-01 |