Do not wait until you are out of a medication to request a refill. Call your doctor or pharmacy a few days before you run out.
Nebraska Total Care covers certain prescriptions and over-the-counter drugs when prescribed by a provider. The pharmacy program does not cover all drugs. Some require prior authorization. Some drugs have limitations on age, dosage, or maximum quantities.
You can read more detailed information about the pharmacy program on the Medicaid Formulary (PDF), effective January 1, 2019.
Nebraska Total Care can cover these types of medication:
- Prescription drugs - The Preferred Drug List is a list of some of the drugs covered by Nebraska Total Care. A team of doctors and pharmacists update this regularly. They want to make sure the medication on the list is safe and helpful for you.
- Preferred Drug List PDL (PDF), updated Feb 1, 2019
- Self-injectable drugs (including insulin)
- Drugs to help you quit smoking
- Needles, syringes, blood glucose monitors, test strips, lancets and glucose urine testing strips
You can have your prescriptions filled at any Nebraska Total Care network pharmacy. Show the pharmacy:
- your prescription
- your Nebraska Medicaid ID card
- you Nebraska Total Care ID card
If you need help finding a pharmacy you can use the Find A Provider tab. You can also call us at 1-844-385-2192 (TDD/TTY: 1-844-307-0342, Relay 711).
Nebraska Total Care has a list of Specialty Pharmacies (PDF).
Vaccine preventable diseases have not gone away. Vaccines will help keep you healthy.
How it works:
- Locate a pharmacy. You can use the Find a Provider page or call Member Services.
- Call the pharmacy you choose and ask if they have the vaccine you need.
- Show your Nebraska Medicaid ID card and Nebraska Total Care ID card.
- Get your vaccination.
No appointment, no copays, no hassle.
Covered vaccines include:
- Injectable Seasonal Influenza Vaccine (Trivalent and Quadrivalent)
- Intradermal Influenza Vaccine (Short Needle)
- Injectable Seasonal Influenza - Vaccine High-Dose (Fluzone)
- Zoster (Zostavax)
For more information call Member Services at 1-844-385-2192 (TDD/TTY: 1-844-307-0342, Relay 711).
Many members never have a copay. These members are:
- Eighteen years old or younger
- Pregnant, and for 60 days after the pregnancy ends
- In an inpatient hospital
- In a long term care facility
- In a facility where they have to spend most of their income for medical cost
- Living in alternative care
- a residential facility
- an adult family home
- a center for the developmentally disabled
- Native Americans getting services from an Indian Health Center
- Native Americans getting services referred by an Indian Health Center
- Receiving waver services under a 1915(c) waver
- Get help from the State Disability Program
There is never a copay for medication for family planning (birth control).
Some members will have copays for some drugs. The copay is only for brand name drugs. There is never a copay for drugs that are on the Preferred Drug List. The Preferred Drug List is posted on this page.
If you are eligible for a copay it will be $3.