| Ambetter Health Texas Superior Marketplace Clinical | Leuprolide Acetate, Leuprolide Mesylate | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Levacetylleucine | 2025-11-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Levodopa Inhalation Powder | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Infertility and Fertility Preservation | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Inotuzumab Ozogamicin | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Irinotecan Liposome | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Isotretinoin | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Ivosidenib | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Ketorolac Nasal Spray | 2025-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Lecanemab-irmb | 2025-11-01 |