ADAP Documents

Nevada ADAP Formulary

• ADAP Formulary #47 Alpha Generic
• ADAP Formulary #47 Drug Class
• ADAP Formulary #47 Alpha Brand

Policy and Procedures

• 16-11 PP Payer of Last Resort Exemptions
• 16-12 PP Marketplace Insurance Special Enrollment Periods
• 16-14 PP Tax Reconciliation Policy
• 17-04 PP Health Insurance Decision Tree
• 17-21 PP Lost Stolen and Vacation Override
• 19-01 PP Medical Advisory Committee Policy and Procedures 
• 19-02 PP Referrals for Medication or Insurance Assistance
• 19-07A PP NPAP Acknowledgement Form APTC
• 19-07B PP NPAP Acknowledgement Form Non-APTC

Forms

• Prior Authorization for Hepatitis C Treatment Regimens
• Prior Authorization for Trogarzo Form
• Prior Authorization for Egrifta Tesamoralin Form