| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Mitoxantrone | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Modafinil | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Mozafancogene Autotemcel | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Nabumetone Double-Strength | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Nafarelin Acetate | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Naproxen/Esomeprazole | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Narsoplimab-wuug | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Nilotinib | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Nipocalimab-aahu | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Non-Formulary and Formulary Contraceptives | 2025-05-01 |