MedicaidPrior AuthMedium impact
Drug Use Review (DUR) Board approves changes to Standard PDL Exception Criteria
Nevada Medicaid·NV · Pharmacy, Psychiatry, Pain Management +2 more·Pharmacy
Effective date
Aug 5, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid's Drug Use Review Board has updated Standard PDL Exception Criteria effective August 5, 2024, implementing changes related to Senate Bill 156 that revises provisions for substance use disorders. The changes affect prior authorization requirements for certain medications on Nevada Medicaid's Preferred Drug List.
Action Required
Immediately: Nevada providers should review updated Prior Authorization forms at https://nevadamedicaid.magellanrx.com/provider/forms for pharmacy/point-of-sale requirements. Billing team must ensure compliance with new Standard PDL Exception Criteria for substance use disorder medications when submitting prior authorization requests to Nevada Medicaid.