The Drug Utilization Review (DUR) Board posted the February 13 draft minutes. The next meeting will be held on May 7. 

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

The Board of Pharmacy posted a revised agenda for its March 4 meeting. The board also posted the draft minutes from the January 8 and the February 6 meetings.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

The following bills are scheduled for hearing in the Banking, Commerce and Insurance Committee on February 27: 

• LB 990: legislation banning PBMs from restricting an enrollee's ability to choose how a retail community pharmacy may dispense or deliver prescription drugs and clarifies that "reasonable terms" between PBMs and specialty pharmacies cannot exceed reporting requirements and performance requirements that are required for a nationally recognized independent accrediting organization among its various provisions. 
• LB 1232: legislation banning PBMs from reimbursing pharmacists or pharmacies for a drug at a lower rate than the cost required to dispense the drug. 

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

The Drug Utilization Review (DUR) Board posted the DUR Board Meeting Minutes from November 14, 2023. The next DUR Board Meeting will be held virtually on May 7.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

The Department of Health and Human Services uploaded the February 7 COVID-19 Provider Meeting Recording. The next call will be held on March 6 at 12:00 noon (Central). 

Join from the meeting link:
https://sonvideo.webex.com/sonvideo/j.php?MTID=mc307e2dda218d1060adfed7f454cfc16
Join by phone:
408-418-9388 (access code: 2480 661 3098 ) 

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

Effective January 1, 2024, Nebraska Total Care transitioned to Express Scripts as its PBM (Pharmacy Benefit Manager). Members have been provided with new member ID cards. If a pharmacist needs a member’s specific prescription processing information or other help with a claim, visit the Express Scripts Pharmacist Resource Center. If a pharmacist needs assistance processing a claim, call the Express Scripts Pharmacy Help Desk at 1-833-750-4471 

Also in Nebraska, the Department of Health and Human Services posted the Excel file of the fee schedule for Injectables January 1, 2024.  

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

The Department of Health and Human Services issued the following provider bulletins: 

• Provider Bulletin 23-32: Summary of Member Reimbursement Opportunities 
• Provider Bulletin 23-30A: Claims for Reinstated Medicaid Members (Updated December 11, 2023); this is an update to provider bulletin 23-30.  

Also in Nebraska, the Department of Health and Human Services posted the Excel file of the fee schedule for Injectables October 1, 2023 (Revised). 

Also in Nebraska, the Department of Health and Human Services received approval from CMS for State Plan Amendment 23-0015: Adult Vaccines related to coverage of vaccines and vaccine administration in accordance with current Advisory Committee on Immunization Practices (ACIP) recommendations. 

Finally in Nebraska, the Department of Health and Human Services posted the meeting recording from the December 6 COVID-19 Provider Call. The next meeting will be held on January 3, 2024, at noon (Central). To participate, use either the meeting link or phone number and access code below. 

Join from the meeting link:
https://sonvideo.webex.com/sonvideo/j.php?MTID=mc307e2dda218d1060adfed7f454cfc16
Join by phone:
408-418-9388 (access code: 2480 661 3098 ) 

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

The Department of Health and Human Services issued Provider Bulletin 23-31: Hepatitis C Virus (HCV) Antiviral Treatment to notify Medicaid providers of upcoming changes to HCV antiviral treatment requirements.

Also in Nebraska, the Department of Health and Human Services issued Provider Bulletin 32-30: Claims for Reinstated Medicaid Members to inform Medicaid providers of members whose coverage has been reinstated due to recent federal guidance. Additional information on Medicaid member reimbursement is also available online, including copays for prescription drugs paid to pharmacies.

Finally in Nebraska, the Department of Health and Human Services posted the draft minutes from the November 14 Drug Utilization Review Board meeting. The next meeting will be held on January 9, 2024.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

The Board of Pharmacy distributed its November 6 meeting agenda and the September 18 draft meeting minutes.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.