Change provisions relating to pharmacy dispensing fees under the Medical Assistance Act

Nebraska's LB 138 changes how pharmacies are paid for dispensing prescriptions under Medicaid. Starting July 1, 2026, independent pharmacies (owning six or fewer locations) and pharmacies as the only option within 30 miles will receive $10.38 per prescription. Other pharmacies will receive tiered fees based on annual prescription volume: $10.38 for under 30,000 prescriptions, $9.51 for 30,000-70,000, and $8.30 for 70,000+ prescriptions. The bill requires the state to conduct cost surveys every two years and adjust fees annually to ensure fair reimbursement for all participating pharmacies.