| Ambetter Health Texas Superior Medicaid Clinical | Sacituzumab Govitecan-hziy | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Sipuleucel-T | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Sodium Dichloroacetate | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Spesolimab-sbzo | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Sutimlimab-jome | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Tebentafusp-tebn | 2025-05-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Temozolomide | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Esketamine | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Transmucosal Immediate-release Fentanyl | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Ferric Derisomaltose | 2025-05-01 |