Nebraska Medicaid program

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

November 2024

Preferred Drug List (PDL)/Claim Limitations Document Updates

The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through November 1, 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