NRS 689B.03762
Policy covering prescription drugs to provide coverage for drugs irregularly dispensed for purpose of synchronization of chronic medications.

1.

An insurer who offers or issues a policy of group health insurance which provides coverage for prescription drugs:

(a)

Must authorize coverage for and may apply a copayment and deductible to a prescription that is dispensed by a pharmacy for less than a 30-day supply if, for the purpose of synchronizing the insured’s chronic medications:

(1)

The prescriber or pharmacist determines that filling or refilling the prescription in that manner is in the best interest of the insured; and

(2)

The insured requests less than a 30-day supply.

(b)

May not deny coverage for a prescription described in paragraph (a) which is otherwise approved for coverage by the insurer.

(c)

Unless otherwise provided by a contract or other agreement, may not prorate any pharmacy dispensing fees for a prescription described in paragraph (a).

2.

A policy subject to the provisions of this chapter which provides coverage for prescription drugs and that is delivered, issued for delivery or renewed on or after January 1, 2017, has the legal effect of providing that coverage subject to the requirements of this section, and any provision of the policy or renewal which is in conflict with this section is void.

3.

The provisions of this section do not apply to unit-of-use packaging for which synchronization is not practicable or to a controlled substance.

4.

As used in this section:

(a)

“Chronic medication” means any drug that is prescribed to treat any disease or other condition which is determined to be permanent, persistent or lasting indefinitely.

(b)

“Synchronization” means the alignment of the dispensing of multiple medications by a single contracted pharmacy for the purpose of improving a patient’s adherence to a prescribed course of medication.

(c)

“Unit-of-use packaging” means medication that is prepackaged by the manufacturer in blister packs, compliance packs, course-of-therapy packs or any other packaging which is designed and intended to be dispensed directly to the patient without modification by the dispensing pharmacy, except for the addition of a prescription label.

Source: Section 689B.03762 — Policy covering prescription drugs to provide coverage for drugs irregularly dispensed for purpose of synchronization of chronic medications., https://www.­leg.­state.­nv.­us/NRS/NRS-689B.­html#NRS689BSec03762.

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 689B.035
Required provision concerning termination of coverage on dependent child. 689B.0303
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. 689B.0335
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

Jun. 24, 2021

§ 689B.03762’s source at nv​.us