MedicaidCoverageMedium impact
Attention Nevada Medicaid Providers Who Prescribe, Dispense, Or Administer Drugs: Nevada Medicaid is Implementing a Single Preferred Drug List (sPDL)
Nevada Medicaid·NV·Pharmacy
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is implementing a Single Preferred Drug List (sPDL) effective January 1, 2026, creating unified medication coverage across Fee-for-Service and Managed Care plans. A temporary coverage period runs through June 30, 2026, allowing members to continue current prescriptions while providers adjust to new preferred medications and potentially changed prior authorization requirements.
Action Required
By December 31, 2025: Providers must review the new Nevada Medicaid Preferred Drug List at https://nv.primetherapeutics.com/home and adjust prescribing practices for preferred medications. Update EMR templates and prescribing protocols to reflect new prior authorization requirements. Contact health plan Pharmacy Benefit Manager for specific prior auth changes that may affect billing workflows.