| Ambetter Health Texas Superior Medicaid Clinical | Ophthalmic Riboflavin | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Paclitaxel, Protein-Bound | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Peginterferon Beta-1a | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Pegunigalsidase Alfa-iwxj | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Pertuzumab, Pertuzumab-dpzb | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Pozelimab-bbfg | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Doxycycline | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Durvalumab | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Dutasteride, Dutasteride/Tamsulosin | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Edaravone | 2025-05-01 |