Pharmacy Benefits for Medicaid and Nevada Check Up Members

You have prescription drug coverage from network pharmacies.

When your doctor orders medication for you, you’ll get the generic form. If there isn’t a generic, you’ll get the brand name.

Preferred drug list

View our drug list. Medications are grouped by category and then separated into drug classes. Each drug class has a section number (i.e., 1-A, 1-B, etc.). The section number is in the index.

The generic name is listed to the left of the brand name for each drug. Drugs you can get in generic form have an asterisk (*) before the brand name. Drugs without a generic form are listed in BOLD.

Certain medications may have quantity or age limitations. See your member handbook and the drug list for more information.

Step therapy

You may be required to try step therapy. This means you must try certain drugs to treat your medical condition before we’ll cover another drug for that condition. You may submit a medical necessity request to waive step therapy requirements or quantity limit restrictions. 

Over-the-Counter (OTC) Medicines

Health Plan of Nevada also covers many over-the-counter (OTC) medications. An in-network provider must write you a prescription for the OTC medication you need. Then all you have to do is take your prescription, HPN health plan ID card, and State Medicaid ID card into any network pharmacy to fill the prescription.

OTCs include:

  • Pain relievers
  • Cough medicine
  • First-aid cream
  • Cold medicine
  • Prenatal vitamins during pregnancy
  • Contraceptives (other than birth control pills)

If you have any questions, please call toll-free 1-800-962-8074, TTY 711, Monday through Friday from 8 a.m. to 6 p.m. local time.