| Ambetter Health Texas Superior Marketplace Clinical | Ado-Trastuzumab Emtansine | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Aducanumab-avwa | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Afatinib | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Agalsidase Beta | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Age Limit Override for Codeine, Tramadol, Hydrocodone | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Alectinib | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Alemtuzumab | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Caudal or Interlaminar Epidural Steroid Injections | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Facet Joint Interventions | 2025-05-01 |