Nebraska Medicaid program
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Welcome to the website for the Nebraska Medicaid Pharmacy Program - Point of Sale System (POS). The
Nebraska Department of Health and Human Services,
Medicaid and Long Term Care division has contracted with Prime Therapeutics State Government Solutions as the
Nebraska Pharmacy Benefits Administrator.
Nebraska Medicaid provides for health care services to eligible elderly and disabled individuals and eligible
low-income pregnant women, children and parents. Medicaid provides health care for more than one in every
ten Nebraskans.
Prime Therapeutics State Government Solutions is responsible for:
- Operations Support of the Point of Sale System
- Call Center Operations for Providers
- Clinical Consultation Services
- Education and outreach activities for Providers
View AllWeb Announcements
December 2024
November 2024 P&T Changes Within the Preferred Drug List (PDL) Now Available
The Preferred Drug List (PDL) decided by the Nebraska Pharmaceutics & Therapeutics (P&T) Committee and approved by the NE DHHS, is now available. The changes are highlighted in red and will go into effect on Friday, January 17, 2025. The updated list can be found at:
https://nebraska.fhsc.com/PDL/PTcommittee.asp
Providers of Fee-for-Service (FFS) members may contact Prime Therapeutics State Government Solutions via phone or fax to document patient specific clinical considerations requiring exception to these limits.
Prime Therapeutics State Government Solutions:
- Fax 1-866-759-4115
- Tel 1-800-241-8335
Preferred Drug List (PDL)/Claim Limitations Document Updates
The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through December 2, 2024. The updated lists can be found at:
https://nebraska.fhsc.com/PDL/PDLlistings.asp
Providers of Fee-for-Service (FFS) members may contact Prime Therapeutics State Government Solutions via phone or fax to document patient specific clinical considerations requiring exception to these limits.
Prime Therapeutics State Government Solutions:
- Fax 1-866-759-4115
- Tel 1-800-241-8335