Nevada § 422.4053 - Department to manage payments and rebates for prescription drugs; contract for provision of certain services

§ 422.4053. Department to manage payments and rebates for prescription drugs; contract for provision of certain services

1. Except as otherwise provided in subsection 2, the Department shall directly manage,

direct and coordinate all payments and rebates for prescription drugs and all other

services and payments relating to the provision of prescription drugs under the State

Plan for Medicaid and the Children's Health Insurance Program. 2. The Department may enter into a contract with: (a) A pharmacy benefit manager for the provision of any services described in subsection

1. (b) A health maintenance organization pursuant to NRS 422.273 for the provision of any of the services described in subsection 1 for recipients

of Medicaid or recipients of insurance through the Children's Health Insurance Program

who receive coverage through a Medicaid managed care program. (c) One or more public or private entities from this State, the District of Columbia

or other states or territories of the United States for the collaborative purchasing

of prescription drugs in accordance with subsection 3 of NRS 277.110 . 3. A contract entered into pursuant to paragraph (a) or (b) of subsection 2 must: (a) Include the provisions required by NRS 422.4056 ; (b) Require the pharmacy benefit manager or health maintenance organization, as applicable,

to disclose to the Department any information relating to the services covered by

the contract, including, without limitation, information concerning dispensing fees,

measures for the control of costs, rebates collected and paid and any fees and charges

imposed by the pharmacy benefit manager or health maintenance organization pursuant

to the contract; and (c) Require the pharmacy benefit manager or health maintenance organization to comply

with the provisions of this chapter regarding the provision of prescription drugs

under the State Plan for Medicaid and the Children's Health Insurance Program to the

same extent as the Department. 4. In addition to meeting the requirements of subsection 3, a contract entered into

pursuant to: (a) Paragraph (a) of subsection 2 may require the pharmacy benefit manager to provide

the entire amount of any rebates received for the purchase of prescription drugs,

including, without limitation, rebates for the purchase of prescription drugs by an

entity other than the Department, to the Department. (b) Paragraph (b) of subsection 2 must require the health maintenance organization

to provide to the Department the entire amount of any rebates received for the purchase

of prescription drugs, including, without limitation, rebates for the purchase of

prescription drugs by an entity other than the Department, less an administrative

fee in an amount prescribed by the contract. The Department shall adopt policies prescribing the maximum amount of such an administrative

fee.