Heritage Health

Nebraska Total Care Changes Claims Processors in April

Effective April 1, 2019, Envolve Pharmacy Solutions will transition Nebraska Total Care claims processing to RxAdvance. Pharmacies will need to update their claims system and Prior Authorization systems to reflect the change in information.
  • Phone: 1.844.330.7852 (No change)
  • Fax: 1.877.386.4695 (New number)
  • CoverMyMeds.com information will not change
Pharmacy Help Desk
  • 1.800.974.5268 (New number) 
Click here for additional information including new BIN and PCN information for NTC Members.



Nebraska Medicaid OTC Drug Coverage Changes

On January 1, 2019, a standard OTC list was implemented by each Heritage Health Plan. Medicaid will only cover products whose manufacturers participate in the Federal Medicaid Drug Rebate Program. Products which are supplied by manufacturers who do not participate in the rebate program will no longer be covered. Click here for the DHHS Provider Bulletin No. 19-02.



List of Covered OTCs and NDCs

The Medicaid Managed Care Plans have posted their list of covered OTC medications and NDCs on their websites.  These lists can also be found from the following links:

 

Medicaid Managed Care Contact Information