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Pharmacy

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 Nebraska Total Care  Medicaid Formulary (PDF). (updated monthly)

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.  
  • 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
  • your 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, Nebraska Relay Service 711. 

Nebraska Total Care has a list of Specialty Pharmacies (PDF).
Nebraska Total Care has a list of Hemophilia Pharmacies (PDF).

Vaccine preventable diseases have not gone away. Vaccines will help keep you healthy.  

How it works: 

  1. Locate a pharmacy. You can use the Find a Provider page or call Member Services.
  2. Call the pharmacy you choose and ask if they have the vaccine you need.
  3. Show your Nebraska Medicaid ID card and Nebraska Total Care ID card. 
  4. 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) 
  • Pneumonia
  • Meningococcal

For more information call Member Services at 1-844-385-2192, Nebraska Relay Service 711. 

Search Krames on Demand to get answers to your drug questions.

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). There is never a copay for drugs that are on the Preferred Drug List. The Preferred Drug List (PDL) is posted on this page. Some members will have copays for some brand name drugs. If you are eligible for a copay it will be $3.