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Preferred Drug List Changes

The following changes have been made to the Nebraska PDL.

Heritage Health - Nebraska Total Care 

 

PDL changes effective 01/16/2026
Nebraska PDL Therapeutic Drug ClassDrug Name (Route)PDL Status before 1/16/26PDL status on or after 1/16/26
ANTIPARKINSON'S AGENTSENTACAPONE (ORAL)Non-PreferredPreferred
CYTOKINE AND CAM ANTAGONISTSHADLIMA KIT (INJECTION) (CF) 100 MG/MLNon-PreferredPreferred
CYTOKINE AND CAM ANTAGONISTSHADLIMA KIT (INJECTION) 50 MG/MLNon-PreferredPreferred
CYTOKINE AND CAM ANTAGONISTSHADLIMA PEN KIT (INJECTION) (CF) 100 MG/MLNon-PreferredPreferred
CYTOKINE AND CAM ANTAGONISTSHADLIMA PEN KIT (INJECTION) 50 MG/MLNon-PreferredPreferred
CYTOKINE AND CAM ANTAGONISTSSIMLANDI PEN KIT (INJECTION) (CF) 100 MG/MLNon-PreferredPreferred
CYTOKINE AND CAM ANTAGONISTSTALTZ AUTOINJECTOR (SUBCUTANE.)Non-PreferredPreferred
CYTOKINE AND CAM ANTAGONISTSTALTZ SYRINGE (SUBCUTANE.)Non-PreferredPreferred
CYTOKINE AND CAM ANTAGONISTSPYZCHIVA SYRINGE (SUBCUTANEOUS)Non-PreferredPreferred
CYTOKINE AND CAM ANTAGONISTSSTEQEYMA SYRINGE (SUBCUTANE.)Non-PreferredPreferred
IMMUNOMODULATORS, ATOPIC DERMATITISEBGLYSS PEN (SUBCUTANEOUS)Non-PreferredPreferred
IMMUNOMODULATORS, ATOPIC DERMATITISEBGLYSS SYRINGE (SUBCUTANEOUS)Non-PreferredPreferred
ANTIPARKINSON'S AGENTSCARBIDOPA/LEVODOPA/ENTACAPONE (ORAL)PreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSCOSENTYX PEN (SUBCUTANE.)PreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSCOSENTYX SYRINGE (SUBCUTANE.)PreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSCYLTEZO KIT (INJECTION) (CF) 100 MG/MLPreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSCYLTEZO KIT (INJECTION) (CF) 50 MG/MLPreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSCYLTEZO PEN KIT (INJECTION) (CF) 100 MG/MLPreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSCYLTEZO PEN KIT (INJECTION) (CF) 50 MG/MLPreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSHUMIRA KIT (INJECTION) (CF) 100 MG/MLPreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSHUMIRA KIT (INJECTION) 50 MG/MLPreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSHUMIRA PEN KIT (INJECTION) (CF) 100 MG/MLPreferredNon-Preferred
CYTOKINE AND CAM ANTAGONISTSHUMIRA PEN KIT (INJECTION) 50 MG/MLPreferredNon-Preferred
STIMULANTS AND RELATED AGENTSADDERALL XR (ORAL)PreferredNon-Preferred