| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Treosulfan (Grafapex®) (TX.CC.PHAR.49) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Valoctocogene roxaparvovec-rvox (Roctavian) (TX.CC.PHAR.29) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Velmanase alfa-tycv (Lamzede) (TX.CC.PHAR.40) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Viltolarsen (Viltepso) (TX.CC.PHAR.10) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Voretigene neparvovec-rzyl (Luxturna) (TX.CC.PHAR.04) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Facility Based Sleep Studies (MC.CP.MP.248) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Bevacizumab (Avastin) (CP.PHAR.93) - RETIRED (Medicare February 15, 2024) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Diagnostic Testing Guidelines for 2019-Novel Coronavirus (CP.MP.183) - RETIRED (Medicare February 15, 2024) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | DNA Analysis of Stool (CP.MP.125) - RETIRED (Medicare February 15, 2024) | |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Hyperemesis Gravidarum Treatment (CP.MP.34) - RETIRED (Medicare February 15, 2024) | |