| Ambetter Health Texas Superior Medicaid Clinical | Nogapendekin alfa inbakicept-pmln (Anktiva) (TX.CC.PHAR.42) | |
| Ambetter Health Texas Superior Medicaid Clinical | Obstetrical Home Care Programs | |
| Ambetter Health Texas Superior Medicaid Clinical | Tarlatamab-dlle (Imdelltra) (TX.CC.PHAR.43) | |
| Ambetter Health Texas Superior Medicaid Clinical | Afamitresgene autoleucel (Tecelra®) (TX.CC.PHAR.48) | |
| Ambetter Health Texas Superior Medicaid Clinical | Atidarsagene Autotemcel (Lenmeldy) (TX.CC.PHAR.52) | |
| Ambetter Health Texas Superior Medicaid Clinical | Axatilimab-csfr (Niktimvo®) (TX.CC.PHAR.51) | |
| Ambetter Health Texas Superior Medicaid Clinical | Axicabtagene Ciloleucel (Yescarta®) (TX.CC.PHAR.03) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | FACILITY-BASED PSG FOR OSA | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Obstetrical Home Care Programs | |
| BCBS Iowa Medical Policies | technology assessment form | |