| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Buprenorphine | 2025-02-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Fitusiran | 2025-02-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Givosiran | 2025-02-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Hemin | 2025-02-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Human Growth Hormone | 2025-02-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Iobenguane I 131 | 2025-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Desmopressin Acetate | 2025-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Desmopressin Acetate | 2025-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Eladocagene Exuparvovec-tneq | 2025-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Emicizumab-kxwh | 2025-02-01 |