| Ambetter Health Illinois Clinical | Allogeneic Hematopoietic Progenitor Cell Therapy | 2025-05-01 |
| Ambetter Health Illinois Clinical | Fetal Surgery in Utero for Prenatally Diagnosed Malformations | 2025-05-01 |
| Sentara Health Plans | Solid Organ Transplantations, Surgical 236 - Commercial | 2025-05-01 |
| Sentara Health Plans | Solid Organ Transplantations, Surgical 236 - Medicaid | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Apalutamide | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Armodafinil | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Aprocitentan | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Atrasentan | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Belimumab | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Bimatoprost Implant | 2025-05-01 |