| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Hyperhidrosis Treatments | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Implantable Intrathecal or Epidural Pain Pump | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Orthognathic Surgery | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Proton and Neutron Beam Therapies | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Urinary Incontinence Devices and Treatments | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Abemaciclib | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Aceclidine | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Acyclovir Buccal Tablet | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Adefovir | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Afamitresgene Autoleucel | 2025-11-01 |