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Formulary Changes

Nebraska Total Care continually evaluates our Value-Add Formulary (PDF) to make sure our members receive clinically appropriate and cost conscious drug therapy. Effective June 1, 2021, Nebraska Total Care will cover the following medications on the Value-Add Formulary:

Drug Name

  • SPS (with sorbitol) 15 gram-20 gram/60 mL oral suspension
  • riluzole 50 mg tablet
  • Gavilyte-C 240 gram-22.72 gram-6.72 gram-5.84 gram oral solution
  • Zafemy 150 mcg-35 mcg/24 hr transdermal patch