Preferred Drug List Changes
The following changes have been made to the Nebraska PDL. Changes are effective January 21, 2021.
| Nebraska PDL Therapeutic Drug Class | Change effective January 21, 2021 |
|---|---|
| ANTHELMINTICS | albendazole→Preferred Albenza→Non-Preferred |
| ANTI-ALLERGENS, ORAL | Palforzia Titration move to → Non-Preferred Palforzia Maintenance move to → Non-Preferred |
| ANTIHISTAMINES, MINIMALLY SEDATING | Cetirizine Soln OTC→Non-Preferred |
| ANTIHYPERURICEMIC | Gloperba SOLN move to→Non-Preferred Mitigare→Preferred Colchincine Capsule (AG) (generic for Mitigare)→ Non-Preferred |
| ANTIPARKINSON'S AGENTS | Apokyn Sub-Q move to→ Non-Preferred Kynmob Kit, Sub-Lingual move to→ Non-Preferred Nourianz move to→ Non-Preferred Bromocriptine (generic for Parlodel)→ Non-Preferred |
| ANTIPSORIATICS, TOPICAL | Calcipotriene/Betamethasone (generic Taclonex Scalp) move to → Non-Preferred Remove Taclonex Scalp (Non-Preferred) |
| BRONCHODILATORS, BETA AGONIST | ProAir Digihaler move to →Non-Preferred Proventil HFA→Non-Preferred |
| COLONY STIMULATING FACTORS | Ziextenzo Syringe move to → Non-Preferred |
| COPD AGENTS | Duaklir Pressair move to →Non-Preferred Anoror Ellipta→ Preferred Bevespi Aerosphere → Non-Preferred |
| CYTOKINE AND CAM ANTAGONISTS | Enspryng (sub-q) move to → Non-Preferred Enbrel Vial → Preferred |
| GLUCOCORTICOIDS, INHALED | Breztri HFA move to → Non-Preferred AirDuo Digihaler move to → Non-Preferred |
| GLUCOCORTICOIDS, ORAL | Ortikos move to →Non-Preferred Methylprenisolone 32mg → Non-Preferred |
| HEMOPHILIA TREATMENT | Esperoct move to → Non-Preferred Advate → Non-Preferred Coagadex → Preferred Hemlibra → Preferred Koate-DVI →Non-Preferred Kovaltry → Non-Preferred Mononine Kit → Non-Preferred Profilnine SD → Non-Preferred Recombinate →Non-PreferredVonvendi → Non-Preferred |
| HISTAMINE II RECEPTOR BLOCKER | Ranitidine Tab OTC → Non-Preferred Ranitidine Tab Rx → Non-Preferred Nizatidine Soln → Preferred Ranitidine Syrup →Non-Preferred |
| IMMUNOMODULATORS, ASTHMA (NEW) | Nucala Auto-injector move to →Non-Preferred Nucala Syringe move to → Non-Preferred Fasenra Pen move to → Preferred |
| IMMUNOMODULATORS, ATOPIC DERMATITIS | Dupixent PEN move to → Non-Preferred Eucrisa → Preferred |
| NSAIDS, TOPICAL | diclofenac gel OTC move to →Preferred Licart Patch move to → Non-Preferred |
| ONCOLOGY, ORAL - BREAST | Tukysa move to → Non-Preferred |
| ONCOLOGY, ORAL - HEMATOLOGIC | Inqovi move to → Non-Preferred Brukinsa move to → Non-Preferred |
| ONCOLOGY, ORAL - LUNG | Gavreto move to →Non-Preferred Tabrecta move to → Non-Preferred Retevmo move to → Non-Preferred Iressa → Non-PreferredXalkori → Non-Preferred |
| ONCOLOGY, ORAL - OTHER | Koselugo move to → Non-Preferred Tazverik move to → Non-Preferred Pemazyre move to → Non-Preferred |
| ONCOLOGY, ORAL - PROSTATE | abiraterone → Preferred Zytiga → Non-Preferred |
| ONCOLOGY, ORAL - RENAL CELL | Inlyta → Preferred |
| OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS | Zerviate move to → Non-Preferred |
| OPHTHALMIC ANTIBIOTICS | Gentamicin Oint → Preferred Tobrex Oint → Non-Preferred Moxeza → Non-Preferred |
| OPHTHALMICS, ANTI-INFLAMMATORIES | Inveltys move to → Non-Preferred |
| OPHTHALMICS, ANTI-INFLAMMATORY/ IMMUNOMODULATOR | Xiidra → Preferred |
| OTIC ANTIBIOTICS | ciprofloxacin/dexamethasone move to → Non-Preferred |
| PROGESTATIONAL AGENTS | Makena SDV → Non-Preferred |
| SEDATIVE HYPNOTICS | Dayvigo move to → Non-Preferred |
| SICKLE CELL ANEMIA TREATMENTS (NEW) | Droxia move to → PPreferred Siklos move to → Non-Preferred Endari move to → Non-Preferred Oxbryta move to → Non-Preferred |
| STEROIDS, TOPICAL HIGH | Halog (cream, oint, soln) move to → Non-Preferred |
| STEROIDS, TOPICAL LOW | Hydrocortisone-Aloe Cream OTC→Non-Preferred Hydrocortison Oint OTC → Non-Preferred |
| STIMULANTS AND RELATED AGENTS | Methylphenidate ER (Aptensio XR) move to → Non-Preferred Wakix move to → Non-Preferred Adderall XR → Preferred Amphetamine Salt Combo ER → Non-Preferred Aptensio XR → Non-Preferred Concerta 18mg, 27mg, 36mg, 54mg →Preferred Methylphenidate 30/70 (generic for Metadate CD)→ Non-Preferred Methylphenidate ER 18mg, 27mg, 36mg, 54mg (Concerta) →Non-Preferred Methylphenidate ER (Metadate ER) → Non-Preferred Methylphenidate ER 72mg (generic for Relexxii)→ Non-PreferredREMOVE APTENSIO XR (Non-Preferred) |
| THROMBOPOIESIS STIMULATING PROTEINS (NEW) | Doptelet move to → Non-Preferred Mulpleta move to →Non-Preferred Promacta Tablet move to → Preferred Promacta Susp move to → Non-Preferred Tavalisse move to → Non-Preferred |