MedicaidReimbursementLow impact
Pharmacy Dispensing Fee Rate Increase
Nebraska Medicaid·NE · Pharmacy·Pharmacy
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Nebraska Medicaid is increasing pharmacy dispensing fees from $10.38 to $10.50 for prescriptions dispensed on or after July 1, 2025. This affects both fee-for-service Medicaid and Medicaid managed care plans, with independent pharmacies (6 or fewer locations) receiving the higher rate for managed care prescriptions.
Action Required
By July 1, 2025: Pharmacy billing teams in Nebraska must update their billing systems to reflect the new dispensing fee rate of $10.50 (increased from $10.38) for all Nebraska Medicaid prescriptions. Contact Danny.Vanourney@nebraska.gov or DHHS.MedicaidPharmacyUnit@nebraska.gov with questions.