Nevada Code § 422.4054 — Submission of certain contracts by state pharmacy benefit manager to Authority for approval; Authority authorized to change certain payment arrangements to comply with state or federal requirements. [Effective on the effective date of the initial contract entered into between the Nevada Health Authority and the state pharmacy benefit manager pursuant to NRS 422.4053 , as amended by section 12 of chapter 390, Statutes of Nevada 2025, at page 2605 .]

Nevada Code § 422.4054

Submission of certain contracts by state pharmacy benefit manager to Authority for approval; Authority authorized to change certain payment arrangements to comply with state or federal requirements. [Effective on the effective date of the initial contract entered into between the Nevada Health Authority and the state pharmacy benefit manager pursuant to NRS 422.4053 , as amended by section 12 of chapter 390, Statutes of Nevada 2025, at page 2605 .]

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1. The state pharmacy benefit manager shall submit to the Authority for review: (a) Each contract for the provision of benefits under the contract entered into pursuant to NRS 422.4053 between the state pharmacy benefit manager and a pharmacy or an entity that contracts on behalf of such a pharmacy; (b) Each revision to the terms and conditions of a contract described in paragraph (a); and (c) Each suspension or termination of a contract described in paragraph (a). 2. The Authority shall review each submission received pursuant to subsection 1 and approve or deny the contract, revision, suspension or termination, as applicable. A contract, revision, suspension or termination is not effective until the contract, revision, suspension or termination, as applicable, is approved by the Authority. 3. The Authority may change a payment arrangement between the Authority and a Medicaid managed care organization, the Authority and the state pharmacy benefit manager or a Medicaid managed care organization and the state pharmacy benefit manager in order to comply with federal or state law or regulations or any other agreement between the Authority and the Federal Government. 4. The state pharmacy benefit manager shall not enter into, renew or amend any contract that is inconsistent with: (a) The terms and conditions of the contract entered into by the state pharmacy benefit manager with the Authority pursuant to NRS 422.4053 ; or (b) The reimbursement methodologies and dispensing fees established by the Authority pursuant to subsection 1 of NRS 422.40527 . 5. Any contract entered into by the state pharmacy benefit manager in violation of subsection 4 is void and unenforceable.

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