| Ambetter Health Texas Superior Marketplace Clinical | Cysteamine Ophthalmic | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Cysteamine oral | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Ferric Derisomaltose | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Fibrinogen Concentrate (Human), Fibrinogen, Human-chmt | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Fosdenopterin | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Glatiramer Acetate | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | IncobotulinumtoxinA | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Inotersen | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Interferon Beta-1a | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Interferon Beta-1b | 2025-05-01 |