| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Halobetasol Propionate | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Hyaluronate Derivatives | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Idebenone | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Idelalisib | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Imlunestrant | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Inavolisib | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Infertility and Fertility Preservation | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Inotuzumab Ozogamicin | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Irinotecan Liposome | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Isotretinoin | 2025-11-01 |