| Ambetter Health Texas Superior Marketplace Clinical | Dimethyl Fumarate, Diroximel Fumarate, Monomethyl Fumarate | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Ipilimumab | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Isatuximab-irfc | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Isavuconazonium | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Lenacapavir | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Methoxy Polyethylene Glycol-Epoetin Beta | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Mitoxantrone | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Narsoplimab-wuug | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Dabrafenib | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Dalfampridine | 2025-05-01 |