| Ambetter Health Texas Superior Medicaid Clinical | Amisulpride | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Amivantamab-vmjw | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Apomorphine | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Aprepitant, Fosaprepitant | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Aripiprazole Long-Acting Injections | 2025-08-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Cosmetic and Reconstructive Procedures | 2025-08-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | DME and O&P Criteria | 2025-08-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Panniculectomy | 2025-08-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Pediatric Heart Transplant | 2025-08-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Abrocitinib | 2025-08-01 |