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Drug Benefit Guide

Health Plan of Nevada provides you with access to a wide range of effective and affordable prescription medications. You can view the Preferred Drug Benefit Guide by clicking on the links to the right. The list is periodically updated and includes covered generic and brand name medications, which are available at plan pharmacies for your specific plan copayment.

Health Plan of Nevada's generic substitution policy requires your pharmacist to dispense generic drugs when available, unless otherwise directed by your provider. This allows your plan's lowest copayment to apply. Generic drugs are effective equivalents of their brand name counterparts. However, if a brand name drug is dispensed when a generic equivalent is available, you will pay the generic copayment plus the difference between the generic and brand name contracted cost. Please refer to the Health Plan of Nevada Prescription Drug Benefit Rider contained in your Plan Benefit Information Guide for specific details. Your Plan Information Guide will be available upon your enrollment.

Online Pharmacy

As a Health Plan of Nevada member, you have access to one of the largest and most experienced online pharmacies in the industry. Once registered you’ll have a powerful tool to help manage your prescription drug benefit and lower your medication costs. It’s easy to get started and completely secure.

Once online, you can:

• Order prescription refills and check order status.
• Discover possible ways to save money on your medications, such as using generics and mail order.
• Look up information about your medications and your prescription drug benefit.
• Locate participating retail pharmacies.
• Ask a pharmacist questions anytime, day or night.

And there's more. As a registered member, you get secure, instant access to your personal prescription records. Plus, you’ll have access to easy-to-use planning tools to:

• View a financial summary of your prescription expenses that’s especially valuable at tax time.
• Review your prescription history to share with your doctor.

To set up your registration or to log on to the online pharmacy, click here

Mail Order Program

Preferred maintenance medications may be obtained through our contracted mail order pharmacy, Medco By Mail.

A maintenance medication is a drug most commonly used to treat a chronic illness or life threatening long-term condition such as asthma, diabetes, high blood pressure, arthritis or cardiovascular disease. In order to be available through the mail order pharmacy, a drug must be on the Health Plan of Nevada (HPN) Preferred Drug List AND be considered maintenance by HPN.

The Medco Mail Order Program offers:

• A 90-day supply of medication – at a lower cost (depending on your benefit plan) than a local retail pharmacy
• Access to specialist pharmacists
• Convenient delivery through the mail with free standard shipping
  Advanced quality checks of all your prescriptions to help ensure safety and accuracy

To order prescriptions for the first time or to order a new prescription click here (Medco By Mail Order Form and Health, Allergy & Medication Questionnaire). Complete and print the form and mail (along with your prescription and the applicable copayment) to:

Medco Health Solutions of Fairfield
P.O. Box 747000
Cincinnati, OH 45274-7000

For mail order refill inquiries, call 1-877-417-0536.

This summary is not an offer of coverage. If there are any differences between the information contained within this document and a specific plan document, the plan document will govern. The Drug Benefit Guide does not apply to all Prescription Drug Benefit Plans. Copayment amounts and the availability of certain prescription drugs may vary by plan. If you have questions about the availability of a certain prescription drug under your specific Prescription Drug Benefit Plan, please call Member services (702) 242-7300 or (800) 777-1840 or email us at w3_hpnsd_member@sierrahealth.com. This information and the Preferred Drug List are not meant to replace the advice of a health care professional. If you have specific questions or needs, please see your health care provider.