| Ambetter Health Texas Superior Medicaid Clinical | Brentuximab Vedotin | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Bulevirtide | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | C1 Esterase Inhibitors | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Chloramphenicol Sodium Succinate | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Collagenase Clostridium Histolyticum | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Corticosteroids for Ophthalmic Injection | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Crovalimab-akkz | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Cytomegalovirus Immune Globulin | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Daptomycin | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Daratumumab and Daratumumab/Hyaluronidase-fihj | 2025-08-01 |