| Ambetter Health Texas Superior Marketplace Clinical | C1 Esterase Inhibitors | 2025-08-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Calcifediol | 2025-08-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Cannabidiol | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Deferoxamine | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Delafloxacin | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Dornase Alfa | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Dostarlimab-gxly | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Doxecitine and Doxribtimine | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Ecallantide | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Eculizumab, Eculizumab-aeeb, Eculizumab-aagh | 2025-08-01 |