NRS 695G.1635 Plan covering prescription drugs: Required actions by managed care organization related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared.

250 words·~1 min read·/nv/chapter-695g-managed-care/695g-1635·

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

1. If the Governor or the Legislature proclaims the existence of a state of emergency or issues a declaration of disaster pursuant to NRS 414.070 , a managed care organization who has issued a health care plan which provides coverage for prescription drugs shall, notwithstanding any provision of the health care plan to the contrary:

(a)Waive any provision of the health care plan restricting the time within which an insured may refill a covered prescription if the insured:

(1)Has not exceeded the number of refills authorized by the prescribing practitioner;

(2)Resides in the area for which the emergency or disaster has been declared; and

(3)Requests the refill not later than the end of the state of emergency or disaster or 30 days after the issuance of the proclamation or declaration, whichever is later; and

(b)Authorize payment for, and may apply a copayment, coinsurance or deductible to, a supply of a covered prescription drug for up to 30 days for an insured who requests a refill pursuant to paragraph (a).

2. The Commissioner may extend the time periods prescribed by subsection 1 in increments of 15 or 30 days as he or she determines to be necessary.

3. As used in this section, “practitioner” has the meaning ascribed to it in NRS 639.0125 .