Home | UAC | Site Map

Nebraska Medicaid program

Preferred Drug List and Claim Limitations

Preferred Drug List and Claim Limitations

Get Adobe Reader

You will need Adobe® Reader to view any printable PDF document(s).
Click the button to the left to download a free copy of Adobe® Reader.

Current Preferred Drug List and Claim Limitations

Effective Date Preferred Drug List Claim Limitations
05/01/2025 Preferred Drug List Claim Limitations

Archived Preferred Drug Lists and Claim Limitations

Effective Date Preferred Drug List Claim Limitations
04/01/2025 Preferred Drug List Claim Limitations
03/06/2025 Preferred Drug List Claim Limitations
03/01/2025 Preferred Drug List Claim Limitations
02/01/2025 Preferred Drug List Claim Limitations
01/17/2025 Preferred Drug List Claim Limitations
01/01/2025 Preferred Drug List Claim Limitations
12/02/2024 Preferred Drug List Claim Limitations
11/01/2024 Preferred Drug List Claim Limitations
10/02/2024 Preferred Drug List Claim Limitations
09/03/2024 Preferred Drug List Claim Limitations
08/01/2024 Preferred Drug List Claim Limitations
07/19/2024 Preferred Drug List Claim Limitations
07/01/2024 Preferred Drug List Claim Limitations
06/01/2024 Preferred Drug List Claim Limitations
05/01/2024 Preferred Drug List Claim Limitations
04/01/2024 Preferred Drug List Claim Limitations
03/01/2024 Preferred Drug List Claim Limitations
02/01/2024 Preferred Drug List Claim Limitations
01/19/2024 Preferred Drug List Claim Limitations
01/11/2024 Preferred Drug List Claim Limitations
01/02/2024 Preferred Drug List Claim Limitations
12/01/2023 Preferred Drug List Claim Limitations
11/03/2023 Preferred Drug List Claim Limitations
11/01/2023 Preferred Drug List Claim Limitations
10/01/2023 Preferred Drug List Claim Limitations
09/01/2023 Preferred Drug List Claim Limitations
08/01/2023 Preferred Drug List Claim Limitations
07/21/2023 Preferred Drug List Claim Limitations
07/01/2023 Preferred Drug List Claim Limitations
06/01/2023 Preferred Drug List Claim Limitations
05/01/2023 Preferred Drug List Claim Limitations
04/01/2023 Preferred Drug List Claim Limitations
03/01/2023 Preferred Drug List Claim Limitations
02/01/2023 Preferred Drug List Claim Limitations
01/01/2023 Preferred Drug List Claim Limitations
12/20/2022 Preferred Drug List Claim Limitations
12/01/2022 Preferred Drug List Claim Limitations
11/01/2022 Preferred Drug List Claim Limitations
10/06/2022 Preferred Drug List Claim Limitations
10/01/2022 Preferred Drug List Claim Limitations
09/01/2022 Preferred Drug List Claim Limitations
08/01/2022 Preferred Drug List Claim Limitations
07/22/2022 Preferred Drug List Claim Limitations
06/01/2022 Preferred Drug List Claim Limitations
05/02/2022 Preferred Drug List Claim Limitations
04/01/2022 Preferred Drug List Claim Limitations
03/01/2022 Preferred Drug List Claim Limitations
02/01/2022 Preferred Drug List Claim Limitations
01/21/2022 Preferred Drug List Claim Limitations
01/03/2022 Preferred Drug List Claim Limitations
12/21/2021 Preferred Drug List Claim Limitations
12/01/2021 Preferred Drug List Claim Limitations
11/01/2021 Preferred Drug List Claim Limitations
10/01/2021 Preferred Drug List Claim Limitations
09/02/2021 Preferred Drug List Claim Limitations
08/02/2021 Preferred Drug List Claim Limitations
07/15/2021 Preferred Drug List Claim Limitations
07/01/2021 Preferred Drug List Claim Limitations
06/01/2021 Preferred Drug List Claim Limitations
05/01/2021 Preferred Drug List Claim Limitations
04/01/2021 Preferred Drug List Claim Limitations
03/01/2021 Preferred Drug List Claim Limitations
02/01/2021 Preferred Drug List Claim Limitations
01/21/2021 Preferred Drug List Claim Limitations
12/01/2020 Preferred Drug List Claim Limitations
11/03/2020 Preferred Drug List Claim Limitations
10/01/2020 Preferred Drug List Claim Limitations
09/01/2020 Preferred Drug List Claim Limitations
08/07/2020 Preferred Drug List Claim Limitations
08/01/2020 Preferred Drug List Claim Limitations
07/16/2020 Preferred Drug List Claim Limitations
07/01/2020 Preferred Drug List Claim Limitations
06/01/2020 Preferred Drug List Claim Limitations
05/01/2020 Preferred Drug List Claim Limitations
04/01/2020 Preferred Drug List Claim Limitations
03/01/2020 Preferred Drug List Claim Limitations
02/01/2020 Preferred Drug List Claim Limitations
01/16/2020 Preferred Drug List Claim Limitations