| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Interferon Beta-1a | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Interferon Beta-1b | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Ipilimumab | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Isatuximab-irfc | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Isavuconazonium | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Itraconazole | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Laronidase | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Lenacapavir | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Lenalidomide | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Levoketoconazole | 2025-05-01 |