MedicaidPrior AuthMedium impact
Updates made to Nevada Medicaid Antibiotic policy effective August 4, 2025
Nevada Medicaid·NV·Provider Announcement
Effective date
Aug 4, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated their antibiotic policy effective August 4, 2025, removing ceftibuten and cefditoren from outpatient criteria and adding provider attestation requirements for third-generation cephalosporins. New exception criteria allows third-generation cephalosporins for severe penicillin allergies.
Action Required
Immediately: Providers prescribing third-generation cephalosporins to Nevada Medicaid patients must provide attestation documentation and note severe penicillin allergy exceptions when applicable. Prior authorization forms are available at https://nv.primetherapeutics.com/provider/forms. Update clinical protocols to reflect removal of ceftibuten and cefditoren from standard antibiotic options.