| Ambetter Health Texas Superior Marketplace Clinical | Onasemnogene Abeparvovec-xioi | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Ophthalmic Riboflavin | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Opioids Analgesics | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Osimertinib | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Oxymetazoline | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Ozenoxacin | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Paclitaxel, Protein-Bound | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Pacritinib | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Palivizumab | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Non-Formulary and Formulary Contraceptives | 2025-05-01 |