MedicaidCoverageHigh impact
Silver State Scripts Board Made Changes to the Preferred Drug List Effective November 1, 2025
Nevada Medicaid·NV · Neurology, Psychiatry, Endocrinology +6 more·Pharmacy
Effective date
Nov 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid's Silver State Scripts Board made extensive changes to their Preferred Drug List effective November 1, 2025, moving many brand-name medications to non-preferred status while promoting their generic equivalents to preferred status. Multiple drug classes were affected including anticonvulsants, antipsychotics, insulins, and various other therapeutic categories, with some products removed entirely due to discontinuation or loss of Medicaid rebate participation.
Action Required
Immediately (effective November 1, 2025): Billing and clinical teams must review all Nevada Medicaid patients currently prescribed medications listed in this policy change. Update prior authorization requirements for newly non-preferred medications, verify formulary status before prescribing, and counsel patients on potential medication switches to preferred alternatives. Access the complete updated PDL on Nevada Medicaid's 'Preferred Drug List' webpage to ensure accurate prescribing and billing.