NRS 695B.1906
Required provision concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications.

1.

A hospital or medical services corporation who offers or issues a policy of 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 hospital or medical services corporation.

(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 of health insurance 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 of health insurance 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 695B.1906 — Required provision concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications., https://www.­leg.­state.­nv.­us/NRS/NRS-695B.­html#NRS695BSec1906.

695B.191
Required provision concerning coverage relating to mastectomy. 695B.192
Required provision concerning coverage relating to complications of pregnancy. 695B.193
Required provision concerning coverage for newly born and adopted children and children placed for adoption. 695B.1901
Required provision concerning coverage for continued medical treatment. 695B.1903
Required provision concerning coverage for treatment as part of clinical trial or study. 695B.1904
Required provision concerning coverage for services provided through telehealth. 695B.1905
Required provision concerning coverage for prescription drug previously approved for medical condition of insured. 695B.1906
Required provision concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications. 695B.1907
Required provision concerning coverage for screening for colorectal cancer. 695B.1908
Required provision concerning coverage for certain drugs for treatment of cancer. 695B.1909
Required provision concerning coverage for orally administered chemotherapy. 695B.1912
Required provision concerning coverage for mammograms for certain women 695B.1914
Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician. 695B.1916
Required provision concerning coverage of hormone replacement therapy in certain circumstances 695B.1918
Required provision concerning coverage of health care services related to hormone replacement therapy in certain circumstances 695B.1919
Required provision concerning coverage for drug or device for contraception and related health services 695B.1923
Required provision concerning coverage for treatment of certain inherited metabolic diseases. 695B.1925
Required provision concerning coverage for certain tests and vaccines relating to human papillomavirus 695B.1927
Required provision concerning coverage for management and treatment of diabetes. 695B.1929
Required provision of coverage for management and treatment of sickle cell disease. 695B.1931
Required provision concerning coverage relating to treatment of temporomandibular joint. 695B.1932
Required provision concerning coverage for early refills of topical ophthalmic products. 695B.1942
Required provision concerning coverage for prostate cancer screening. 695B.1944
Required provision concerning coverage for employee or member on leave without pay as result of total disability. 695B.1948
Contract that includes coverage for maternity care must not deny coverage for gestational carrier 695B.19195
Required provision concerning coverage for certain services, screenings and tests relating to wellness
Last Updated

Jun. 24, 2021

§ 695B.1906’s source at nv​.us