Prior Authorization in Nevada
Nevada enacted AB 337 (2019) requiring insurers to provide step therapy exception processes. Exceptions must be granted when the required drug is contraindicated, the patient previously failed the step, or the step is expected to be ineffective. Nevada mandates PA decisions within 3 business days.
Key Facts About PA in Nevada
- ✓ Standard PA decisions required within 3 business days
- ✓ Step therapy exception process required by law
- ✓ External review available through the Nevada Division of Insurance
- ✓ Anthem BCBS Nevada and Prominence Health Plan are major carriers
Quick Stats
- Typical Appeal Filing Window: 30 days
- External Review Available: Yes
- Major Payers: 4
Top Payers in Nevada
RxCheckUp generates payer-specific Letters of Medical Necessity for each of these Nevada carriers:
Anthem BCBS NevadaUnitedHealthcareProminence Health PlanSierra Health