MedicaidPrior AuthMedium impact
Changes to the Nebraska Medicaid Preferred Drug List (PDL)
Nebraska Medicaid·NE·Pharmacy
Effective date
Jul 17, 2026
We identified it
Jun 21, 2026
Summary
Nebraska Medicaid updated their Preferred Drug List (PDL) effective July 17, 2026, moving multiple medications between preferred and non-preferred status across various drug classes. This affects which medications require prior authorization and may impact patient access and billing for prescription-related services.
Action Required
By July 17, 2026: Billing team must review the updated Nebraska Medicaid PDL at https://nebraska.fhsc.com/PDL/PDLlistings.asp and update prior authorization workflows for affected medications. Train staff on new preferred/non-preferred drug classifications. Update encounter forms and EMR templates to reflect current PDL status. Prior authorization requests for non-preferred drugs must be submitted to appropriate managed care plans (Molina, Nebraska Total Care, UnitedHealthcare, or Fee-For-Service Prime Therapeutics) using provided contact information.