MedicaidCoverageMedium impact
Medicaid Services Manual Chapters Updated
Nevada Medicaid·NV · Pharmacy, Geriatrics, Endocrinology +2 more·Provider Announcement
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated two manual chapters: nursing facilities (effective July 1, 2025) and prescribed drugs (effective June 30, 2025). The drug chapter adds new medications including statins as maintenance drugs and creates new coverage sections for specific drugs like Zepbound, Alyftrek, Filsuvez, and others.
Action Required
Immediately: Nevada providers should review the updated MSM Chapter 500 (Nursing Facilities) and Chapter 1200 (Prescribed Drugs) at the provided Nevada Health Authority website links. Billing team must update prior authorization and coverage protocols for newly added medications including statins (now maintenance drugs), Zepbound, Alyftrek, Filsuvez, Juxtapid, Tryngolza, Yorvipath, Ocaliva, Iqirvo, and Livdelzi. Update drug formulary references and coverage limitation guidelines in billing system.