| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Histrelin Acetate | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Hydroxyurea | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Ibuprofen/Famotidine | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Idecabtagene Vicleucel | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Idursulfase | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Imiglucerase | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | IncobotulinumtoxinA | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Inotersen | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Insulin Delivery Systems | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Interferon Beta-1a | 2025-05-01 |