| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Octreotide Acetate | 2025-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Pegloticase | 2025-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Pegloticase | 2025-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Pretomanid | 2025-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Revumenib | 2025-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Pretomanid | 2025-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Revumenib | 2025-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Sarecycline | 2025-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Sepiapterin | 2025-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Sirolimus | 2025-02-01 |