MedicaidCoverageMedium impact
Silver State Scripts Board Made Changes to the Preferred Drug List Effective April 3, 2025
Nevada Medicaid·NV · Family Medicine, Internal Medicine, General Practice +7 more·Pharmacy
Effective date
Apr 3, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid's Silver State Scripts Board updated their Preferred Drug List effective April 3, 2025, changing coverage status for multiple drug classes including epinephrine, inhalers, antidepressants, diabetes medications, and pain medications. Several brand-name drugs were removed due to discontinuation or loss of rebate program participation, while others moved between preferred and non-preferred status.
Action Required
Effective April 3, 2025: Billing and clinical teams must update formulary information for Nevada Medicaid patients. Verify coverage status before prescribing affected medications including Neffy nasal spray, Airsupra HFA, newly preferred antidepressants (Vilazodone, Spravato, Zurzuvae), and pain medications. Update prior authorization workflows for medications moved to non-preferred status. Review patient medication lists and coordinate with providers for alternative therapies where discontinued drugs were prescribed.