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| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Glatiramer Acetate | 2025-05-01 |
| 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 |