Pharmacists for Fair Reimbursement What your state's PBM laws actually mean for community pharmacies
State Tracker Updated June 15, 2026

Nevada: what the PBM reimbursement law requires

Nevada regulates PBMs through fiduciary-duty, conflict-disclosure, and anti-gag rules, but it has no reimbursement floor and no MAC pricing or appeal statute. A 2025 law moves Medicaid to a single PBM by 2030.

Status Partially enacted
Law NRS 683A.178–683A.179; SB 389 (2025) — single Medicaid PBM
Effective date PBM conduct rules in force; SB 389 single-PBM by January 1, 2030
Reimbursement basis No reimbursement floor and no MAC pricing/appeal statute. Nevada imposes a PBM fiduciary duty to the plan, conflict-of-interest disclosure, and anti-gag/transparency rules, and bars charging a patient a copay greater than the amount paid to the pharmacy. SB 389 (2025) requires Medicaid to use a single PBM — barred from spread pricing — by 2030.
Professional dispensing fee Not specified in statute

Nevada regulates PBM conduct but does not protect pharmacy reimbursement directly. Its PBM statutes (NRS 683A.178–.179) impose a fiduciary duty to the plan, require conflict-of-interest disclosure, bar gag clauses on cheaper alternatives, and prevent a copay larger than what the PBM pays the pharmacy — but there is no MAC pricing or appeal mechanism and no reimbursement floor.

The only major 2025 reform enacted, SB 389, requires Nevada Medicaid to use a single PBM (prohibited from spread pricing) by 2030. That restructures Medicaid procurement; it is not a pharmacy reimbursement floor.

Sources

Back to the tracker