Medicaid Pharmacy Services
At Nebraska Total Care our goal is to provide the right drug coverage for our members. We work closely with doctors and pharmacists. We offer medications that treat a range of conditions. We make sure you get the support you need.
Clinical Programs and Medication Use
Nebraska Total Care has programs that help you take your medications. They help to improve your health. We support you and make sure you get the right medications at the right time to stay healthy.
Our programs help members understand how to take their medications. We work with you to improve your health and get the best results.
Medication Coverage
Nebraska Total Care covers prescription and over-the-counter (OTC) drugs. The drugs must be prescribed by a Medicaid provider. We do not cover all drugs. Some drugs need prior approval. Some drugs have limits on age, dose or quantity. There is no copay for prescriptions.
The Preferred Drug List (PDL) is the list of drugs covered by Nebraska Medicaid. Doctors should first prescribe medications on the PDL.
Preferred Drug List (PDL) (January 1, 2026)
The Value-Add Formulary is a list of drugs covered by Nebraska Total Care. It includes drugs that are not on the PDL. It also includes over-the-counter (OTC) drugs.
Value-Add Formulary (PDF) (January 1, 2026)
Nicotine Replacement Drugs are covered to help you quit smoking. Other services are covered at no cost.
Nebraska Tobacco Quitline - Nicotine Replacement Therapy (PDF)
Drug Look-Up Tool
You can look up drug coverage by clicking the button below.
If a drug you take is no longer preferred, you may need to switch to a different medication. If you get a letter in the mail from Nebraska Total Care, please read it carefully. You should talk to your doctor about it. We will work with your doctor to make sure you get the medication you need.
If you have questions or problems, call Nebraska Total Care member services by dialing the toll-free number 1-844-385-2192 TTY: 711 on your Medicaid ID card.
Search HealthHub to get answers to your drug questions.
Specialty Pharmacy Services
What is a Specialty Medication?
A specialty drug is a drug that needs special handling. These are often ordered through a specialty pharmacy.
What is a Specialty Pharmacy?
A specialty pharmacy provides specialty drugs. The staff is highly trained. They can provide you help, such as training on how to take your medication.
Specialty Medication Access
Drugs used to treat hemophilia must be filled by a pharmacy in the hemophilia specialty pharmacy network.
Hemophilia Pharmacies (PDF) (January 1, 2025)
All other specialty drugs can be filled at a network pharmacy.
Fill and Receive Your Medications
You must fill your prescriptions at a network pharmacy. You will need your Nebraska Total Care ID Card.
90-Day Maintenance Drugs
You can get up to a 90-day supply of medications you take long-term.
90-Day Maintenance Drugs (PDF) (March 12, 2025)
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.
To find a pharmacy that is in the Nebraska Total Care network, you can use the Find A Provider Tool. Type in your city or zip code. Then click Update. Choose Other and type the name of your pharmacy. You can also select the pharmacy type in the Select Specialty area. This will show a list of pharmacies in the Nebraska Total Care network.
Pharmacy Services
Diabetic Testing Supplies
We have preferred diabetic testing supplies. Accu-Chek products are the Nebraska Total Care preferred supplies.
Accu-Chek Glucose Meter Provider Flyer (PDF)
Vaccines
We cover vaccines at the pharmacy for members 19 years old and older. Vaccine preventable diseases have not gone away. Vaccines will help keep you healthy.
Covered vaccines include:
- Seasonal Influenza Vaccine
- Intradermal Influenza Vaccine (Short Needle)
- High-Dose Seasonal Influenza Vaccine (Fluzone)
- Respiratory Syncytial Virus (RSV)
- Zoster
- Pneumonia
- Meningococcal
- Human Papillomavirus (HPV)
- Tetanus/Diphtheria/Pertussis
- Covid-19
Contact your health care provider for vaccines if you are under 19 years old.
Learn More
Get in Touch: For more information, contact Nebraska Total Care at 1-844-385-2192 TTY: 711.