NRS 689B.0365
Required provision concerning coverage for use of certain drugs for treatment of cancer.


Except as otherwise provided in NRS 689B.0306:

1.

No group policy of health insurance that provides coverage for a drug approved by the Food and Drug Administration for use in the treatment of an illness, disease or other medical condition may be delivered or issued for delivery in this state unless the policy includes coverage for any other use of the drug for the treatment of cancer, if that use is:

(a)

Specified in the most recent edition of or supplement to:

(1)

The United States Pharmacopoeia Drug Information; or

(2)

The American Hospital Formulary Service Drug Information; or

(b)

Supported by at least two articles reporting the results of scientific studies that are published in scientific or medical journals, as defined in 21 C.F.R. § 99.3.

2.

The coverage required pursuant to this section:

(a)

Includes coverage for any medical services necessary to administer the drug to the employee or member of the insured group.

(b)

Does not include coverage for any:

(1)

Experimental drug used for the treatment of cancer if that drug has not been approved by the Food and Drug Administration; or

(2)

Use of a drug that is contraindicated by the Food and Drug Administration.

3.

A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 1999, has the legal effect of including the coverage required by this section, and any provision of the policy that conflicts with the provisions of this section is void.

Source: Section 689B.0365 — Required provision concerning coverage for use of certain drugs for treatment of cancer., https://www.­leg.­state.­nv.­us/NRS/NRS-689B.­html#NRS689BSec0365.

689B.030
Required provisions.
689B.031
Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician.
689B.033
Required provision concerning coverage for newly born and adopted children and children placed for adoption.
689B.034
Required provision concerning effect of benefits under other valid group coverage
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Required provision concerning termination of coverage on dependent child.
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Required provision concerning coverage for continued medical treatment.
689B.0306
Required provision concerning coverage for treatment received as part of clinical trial or study.
689B.0313
Required coverage for certain tests and vaccines relating to human papillomavirus
689B.0317
Required provision concerning coverage for prostate cancer screening.
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Required provision concerning coverage for autism spectrum disorders.
689B.0345
Required provision concerning coverage for employee or member on leave without pay as result of total disability.
689B.0353
Required provision concerning coverage for treatment of certain inherited metabolic diseases.
689B.0357
Required provision concerning coverage for management and treatment of diabetes.
689B.0358
Required provision concerning coverage for management and treatment of sickle cell disease.
689B.0362
Required provision concerning coverage for orally administered chemotherapy.
689B.0365
Required provision concerning coverage for use of certain drugs for treatment of cancer.
689B.0367
Required provision concerning coverage for screening for colorectal cancer.
689B.0368
Required provision concerning coverage for prescription drug previously approved for medical condition of insured.
689B.0369
Required provision concerning coverage for services provided through telehealth.
689B.0374
Required provision concerning coverage for mammograms for certain women
689B.0375
Required provision concerning coverage relating to mastectomy.
689B.0376
Policy covering prescription drugs or devices to provide coverage of hormone replacement therapy in certain circumstances
689B.0377
Policy covering outpatient care to provide coverage for health care services related to hormone replacement therapy
689B.0378
Required provision concerning coverage for drug or device for contraception and related health services
689B.0379
Required provision concerning coverage for treatment of temporomandibular joint.
689B.03762
Policy covering prescription drugs to provide coverage for drugs irregularly dispensed for purpose of synchronization of chronic medications.
689B.03764
Policy covering prescription drugs to provide coverage for early refills of topical ophthalmic products.
689B.03766
Policy covering maternity care must not deny coverage for gestational carrier
689B.03785
Required provisions concerning coverage for certain services, screenings and tests relating to wellness
Last Updated

Feb. 5, 2021

§ 689B.0365’s source at nv​.us