NEVADA SUMMARY OF EXISTING LAW

If the PBM manages a pharmacy benefits plan that provides coverage through a network plan, charge a copayment or coinsurance for a prescription drug in an amount that is greater than the total amount paid to a pharmacy that is in the network of providers under contract with the third party.

Link to Existing Law: NV ST 683A(1)(d)

PRACTICAL NOTE

While this law does not apply directly to DIR fees, it would prevent post-point-of-sale clawbacks when the patient’s copayment amount is greater than the amount the pharmacy stands to retain.