MedicaidCoverageHigh impact
Attention Nevada Medicaid Providers Who Prescribe, Dispense, Or Administer Drugs: Nevada Medicaid has transitioned to a Single Preferred Drug List (sPDL)
Nevada Medicaid·NV·Pharmacy
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid transitioned to a Single Preferred Drug List (sPDL) effective January 1, 2026, creating one unified formulary for all Nevada Medicaid plans. The change includes a Legacy Coverage Phase through June 30, 2026, allowing members to continue current medications even if now non-preferred, but non-preferred drugs may require prior authorization after this period.
Action Required
Immediately: Nevada providers must reference the new unified sPDL at https://nv.primetherapeutics.com/home for all prescription drugs, physician-administered drugs, and diabetic supplies. Update workflows to expect prior authorization requirements for non-preferred medications after June 30, 2026. Contact health plan Pharmacy Benefit Manager for questions or email RxInfo@nvha.nv.gov for sPDL inquiries.