NV SB389

Department of Health and Human Services must select and contract with a single state pharmacy benefit manager by January 1, 2030 to manage all pharmacy benefits for Medicaid, Children's Health Insurance Program, and certain other public health benefit plans

State pharmacy benefit manager is prohibited from using spread pricing, requiring patients to use specific pharmacies or mail-order pharmacies, creating fees without Department approval, and must pass through all rebates to the Department

Department must establish the Nevada Average Acquisition Cost benchmark to measure actual drug prices paid by pharmacies, with reimbursement methodologies designed to maximize state savings based on actual acquisition costs

All Medicaid managed care organizations must contract with the state pharmacy benefit manager to administer pharmacy benefits and must disclose pharmacy expenditures to the Department upon request

Department must submit biennial reports to the Legislature on savings from the Nevada Average Acquisition Cost benchmark and annual reports on the financial effects of the state pharmacy benefit manager contract