| Ambetter Health Texas Superior Medicaid Clinical | Lenacapavir | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Methoxy Polyethylene Glycol-Epoetin Beta | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Mitoxantrone | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Narsoplimab-wuug | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Dabrafenib | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Dalfampridine | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Darbepoetin Alfa | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Dasatinib | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Datopotamab Deruxtecan-dlnk | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Decitabine/Cedazuridine | 2025-05-01 |