Nevada Revised Statutes
Chapter 439B - Restraining Costs of Health Care
NRS 439B.640 - Manufacturer of drug that has undergone significant price increase to submit report describing reasons for increase; affirmation of accuracy of report; contents of report.


1. On or before April 1 of a year in which a drug is included on either or both of the lists compiled pursuant to paragraph (b) or (c) of subsection 1 of NRS 439B.630, the manufacturer of the drug shall submit to the Department:
(a) A report describing the reasons for the increase in the wholesale acquisition cost of the drug described in paragraph (b) or (c), as applicable, of subsection 1 of NRS 439B.630; and
(b) A statement signed by the person responsible for compiling the report under penalty of perjury affirming the accuracy of the information in the report.
2. The report submitted pursuant to paragraph (a) of subsection 1 must include, without limitation:
(a) A list of each factor that has contributed to the increase;
(b) The percentage of the total increase that is attributable to each factor;
(c) An explanation of the role of each factor in the increase; and
(d) Any other information prescribed by regulation by the Department.
(Added to NRS by 2017, 4298; A 2021, 3725)

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Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 439B - Restraining Costs of Health Care

NRS 439B.010 - Definitions.

NRS 439B.030 - "Billed charge" defined.

NRS 439B.035 - "Children’s Health Insurance Program" defined.

NRS 439B.040 - "Committee" defined.

NRS 439B.050 - "Department" defined.

NRS 439B.060 - "Director" defined.

NRS 439B.070 - "Discharge form" defined.

NRS 439B.090 - "Fiscal year" defined.

NRS 439B.100 - "Health facility" defined.

NRS 439B.110 - "Hospital" defined.

NRS 439B.115 - "Major hospital" defined.

NRS 439B.120 - "Medicaid" defined.

NRS 439B.130 - "Medicare" defined.

NRS 439B.140 - "Net revenue" defined.

NRS 439B.150 - "Practitioner" defined.

NRS 439B.160 - Purposes of chapter.

NRS 439B.200 - Creation; appointment of and restrictions on members; officers; terms of members; vacancies; annual reports.

NRS 439B.210 - Meetings; quorum; compensation.

NRS 439B.220 - Powers.

NRS 439B.225 - Committee to review certain regulations proposed or adopted by licensing boards; recommendations to Legislature.

NRS 439B.227 - Committee to review certain new provisions of law; recommendations to Legislature concerning mandated reporters.

NRS 439B.260 - Reduction of billed charges for certain patients and services; notice; resolution of disputes. [Effective through December 31, 2025.] Reduction of billed charges for certain patients and services; notice; resolution of disputes. [Effec...

NRS 439B.265 - Collection of deductible or copayment from indigent patient covered by Medicare prohibited. [Effective upon confirmation by the Federal Government that the deductibles and copayments which a hospital is prohibited from collecting from...

NRS 439B.270 - Foundation for hospital nursing practice: Establishment; governing body.

NRS 439B.275 - Program for provision of technical assistance to rural hospitals.

NRS 439B.280 - Educational program to promote wellness, physical fitness and prevention of disease, accidents and motor vehicle crashes.

NRS 439B.300 - Legislative findings and declarations; applicability.

NRS 439B.310 - "Indigent" defined.

NRS 439B.320 - Hospital required to provide care for proportionate share of indigent patients; duties of Department and board of county commissioners; reimbursement for care.

NRS 439B.330 - Eligibility of indigent for assistance; payment of hospital for serving disproportionately large share of patients; discharge forms; appeal from determination of county regarding indigent status.

NRS 439B.340 - Report on indigent patients treated; verification by Director; compensation for treatment provided in excess of obligation; assessment for failure to fulfill minimum obligation.

NRS 439B.350 - Department to establish; purpose.

NRS 439B.360 - Evaluation: Recommendations; report to Interim Finance Committee.

NRS 439B.370 - Director authorized to contract for certain services.

NRS 439B.400 - Hospital must maintain and use uniform list of billed charges; exception.

NRS 439B.410 - Hospital required to provide emergency services and care; unlawful acts of hospital or physician working in hospital emergency room; treating hospital may recover penalty from transferring hospital; exceptions; administrative investiga...

NRS 439B.420 - Prohibited acts of hospitals and related entities; exceptions; submission of contracts to Director; civil penalty.

NRS 439B.425 - Prohibited referral of patients; exceptions; penalty.

NRS 439B.430 - Prohibited acts of hospitals; examination by Director; administrative fine; injunctive relief.

NRS 439B.440 - Director may require hospitals, health facilities and providers of health services to submit information; independent audit; examinations; penalty.

NRS 439B.450 - Powers and duties of Director.

NRS 439B.460 - Director authorized to delegate powers and duties.

NRS 439B.500 - Penalty for violation of provisions.

NRS 439B.600 - Definitions.

NRS 439B.605 - "Manufacturer" defined.

NRS 439B.607 - "National Drug Code" defined.

NRS 439B.610 - "Pharmacy" defined.

NRS 439B.615 - "Pharmacy benefit manager" defined.

NRS 439B.616 - "Rebate" defined.

NRS 439B.618 - "Third party" defined.

NRS 439B.619 - "Unit" defined.

NRS 439B.620 - "Wholesale acquisition cost" defined.

NRS 439B.622 - "Wholesaler" defined.

NRS 439B.625 - Organization representing interests of retail merchants to prepare and update list of most commonly prescribed drugs or generic equivalents.

NRS 439B.630 - Department to annually compile lists of certain prescription drugs.

NRS 439B.635 - Manufacturer of certain prescription drugs to prepare, submit and affirm accuracy of annual report; contents of report.

NRS 439B.640 - Manufacturer of drug that has undergone significant price increase to submit report describing reasons for increase; affirmation of accuracy of report; contents of report.

NRS 439B.642 - Wholesaler of certain prescription drugs to prepare, submit and affirm accuracy of annual report; contents of report.

NRS 439B.645 - Pharmacy benefit manager to submit and affirm accuracy of annual report concerning certain drugs; contents of report.

NRS 439B.650 - Department to compile annual report concerning price of certain drugs; contents of report; presentation of report at public hearing.

NRS 439B.655 - Pharmacies to provide to Department contact information, electronic mail address and address of Internet website; exceptions.

NRS 439B.660 - Manufacturer required to provide list of its pharmaceutical sales representatives; electronic access to list; prohibition against unlisted person marketing prescription drugs; reports.

NRS 439B.665 - Report by certain nonprofit organizations that receive items of value from manufacturer. [Effective through December 31, 2025.] Report by certain nonprofit organizations that receive items of value from manufacturer. [Effective January...

NRS 439B.670 - Department to place on Internet website certain information concerning pharmacies, nonprofit organizations and prescription drugs and certain reports by Department; additional or alternative procedures for obtaining information concern...

NRS 439B.675 - Manner of presentation of information.

NRS 439B.680 - Immunity from civil and criminal liability.

NRS 439B.685 - Regulations.

NRS 439B.690 - Suspension of components of program or duties of Department if sufficient money not available; acceptance of gifts and grants.

NRS 439B.695 - Administrative penalty for failure to provide information to Department; use of money collected by Department.

NRS 439B.700 - Definitions.

NRS 439B.703 - "Covered person" defined.

NRS 439B.706 - "Independent center for emergency medical care" defined.

NRS 439B.709 - "In-network emergency facility" defined.

NRS 439B.712 - "In-network provider" defined.

NRS 439B.715 - "Medically necessary emergency services" defined.

NRS 439B.718 - "Out-of-network emergency facility" defined.

NRS 439B.721 - "Out-of-network provider" defined.

NRS 439B.724 - "Provider contract" defined.

NRS 439B.727 - "Provider of health care" defined.

NRS 439B.730 - "Prudent person" defined.

NRS 439B.733 - "Screen" defined.

NRS 439B.736 - "Third party" defined. [Effective through December 31, 2025.] "Third party" defined. [Effective January 1, 2026.]

NRS 439B.739 - "To stabilize" and "stabilized" defined.

NRS 439B.742 - Inapplicability of provisions to certain hospitals, persons and health care services.

NRS 439B.745 - Limitation on amount out-of-network provider may collect from covered person; duties of out-of-network emergency facility upon providing services.

NRS 439B.748 - Payment to out-of-network emergency facility by third party.

NRS 439B.751 - Payment to out-of-network provider, other than emergency facility, by third party.

NRS 439B.754 - Determination of amount owed when no recent contract exists between out-of-network provider and third party; arbitration to resolve dispute; no interest pending resolution of dispute; confidentiality of arbitration.

NRS 439B.757 - Election by certain entities and organizations not otherwise covered to submit to provisions; regulations.

NRS 439B.760 - Reports; confidentiality of information.

NRS 439B.800 - Definitions. [Effective January 1, 2022.]

NRS 439B.805 - "All-payer claims database" defined. [Effective January 1, 2022.]

NRS 439B.810 - "Covered entity" defined. [Effective January 1, 2022.]

NRS 439B.815 - "Direct patient identifier" defined. [Effective January 1, 2022.]

NRS 439B.820 - "Proprietary financial information" defined. [Effective January 1, 2022.]

NRS 439B.825 - "Provider of health care" defined. [Effective January 1, 2022.]

NRS 439B.830 - "Unique identifier" defined. [Effective January 1, 2022.]

NRS 439B.835 - Establishment of database; duties of Department; advisory committees. [Effective January 1, 2022.]

NRS 439B.840 - Entities required and authorized to submit data to database; removal of direct patient identifiers and assignment of unique identifiers. [Effective January 1, 2022.]

NRS 439B.845 - Confidentiality of data; compliance with certain federal law; use of data in enforcement proceedings. [Effective January 1, 2022.]

NRS 439B.850 - Data requests. [Effective January 1, 2022.]

NRS 439B.855 - Access to and use of data; prohibition on release of data to certain entities; duties of recipient of data; requirement to include certain information in report which contains or uses data. [Effective January 1, 2022.]

NRS 439B.860 - Report concerning quality, efficiency and cost of health care based on data; publication of list of reports Department intends to publish in next calendar year. [Effective January 1, 2022.]

NRS 439B.865 - Reports concerning cost, performance and effectiveness of database and information concerning grants. [Effective January 1, 2022.]

NRS 439B.870 - Immunity from certain civil or criminal liability. [Effective January 1, 2022.]

NRS 439B.875 - Regulations; administrative penalties; contracts and agreements; gifts, grants and donations; accounting and use of administrative penalties by Department. [Effective January 1, 2022.]