Contract S5921, plan 406 · Nebraska · 3,518 drugs on file · formulary ID 00026000. Each drug links to its cost in every CMS PDP Region 25 plan.
0 drugs starting with 0-9.
No drug on this plan’s list starts with 0-9.
PA = prior authorization, ST = step therapy, QL = quantity limit. Costs are the plan’s initial-coverage cost-sharing from the CMS 2026 formulary files; a drug not listed here is not on this plan’s formulary, though a formulary exception may still be possible.