CHAPTER 639 - PHARMACISTS AND PHARMACY

NAC 639.441 “Administer” defined. (NRS 639.070) “Administer” means the direct application of a drug or medicine, whether by injection, inhalation, ingestion, or any other means, to the body of a patient or the subject of research. (Added to NAC by Bd. of Pharmacy, eff. 3-27-90)

NAC 639.442 “Chart order” defined. (NRS 639.070) “Chart order” means an order entered on the chart of an inpatient in a medical facility licensed by the Division of Public and Behavioral Health of the Department of Health and Human Services or on the chart of a patient under emer…

NAC 639.445 “Compound” and “compounding” defined. (NRS 639.070) “Compound” or “compounding” means to form or create a composite product by combining two or more different ingredients. (Added to NAC by Bd. of Pharmacy, eff. 3-27-90)

NAC 639.446 “Consultant pharmacist” defined. (NRS 639.070) “Consultant pharmacist” means a pharmacist retained by a medical facility or correctional institution under contract to consult with the facility or institution in areas that relate to the practice of pharmacy. (Added to …

NAC 639.4465 “Correctional institution” defined. (NRS 639.070) “Correctional institution” means any penal facility used for confinement of persons or any facility used for detention of juveniles, which is operated by or under the supervision of a subdivision of the State. The ter…

NAC 639.447 “Deliver” and “delivery” defined. (NRS 639.070) “Deliver” or “delivery” means the actual, constructive, or attempted transfer of a controlled substance or dangerous drug from one person to another, whether or not there is an agency relationship. (Added to NAC by Bd. o…

NAC 639.448 “Device” defined. (NRS 639.070) “Device” means any instrument, apparatus or contrivance, including its components, parts and accessories, intended: 1. For use in the diagnosis, cure, mitigation, treatment or prevention of disease in persons or animals; or 2. To affect…

NAC 639.449 “Direct copy” defined. (NRS 639.070) “Direct copy” includes an electronic or carbonized copy. (Added to NAC by Bd. of Pharmacy, eff. 3-27-90)

NAC 639.450 “Dispense” defined. (NRS 639.070) “Dispense” means the furnishing of a controlled substance or dangerous drug in any amount greater than that necessary for the present and immediate needs of the ultimate user. The term does not include the furnishing of a controlled s…

NAC 639.451 “Distribute” defined. (NRS 639.070) “Distribute” means to deliver other than by administering or dispensing a controlled substance, dangerous drug or other drug. (Added to NAC by Bd. of Pharmacy, eff. 3-27-90; A 9-12-91)

NAC 639.452 “Floor stock” defined. (NRS 639.070) “Floor stock” means drugs or devices not labeled for a specific patient and maintained at a nursing station or other department of a medical facility or correctional institution, excluding the pharmacy, for the purpose of administe…

NAC 639.453 “Formulary” defined. (NRS 639.070) “Formulary” means a list of drugs approved by an appropriate committee that evaluates, appraises and selects from among the various available drugs and drug products those drugs considered most useful in caring for patients. (Added t…

NAC 639.455 “Investigational drug” defined. (NRS 639.070) “Investigational drug” means a new drug intended for investigational use by experts qualified to evaluate the safety and effectiveness of the drug as authorized by the Food and Drug Administration. (Added to NAC by Bd. of …

NAC 639.456 “IV admixture” defined. (NRS 639.070) “IV admixture” means the compounding of parenteral solutions by aseptic procedures. (Added to NAC by Bd. of Pharmacy, eff. 3-27-90)

NAC 639.457 “Medical facility” defined. (NRS 639.070) “Medical facility” includes: 1. A surgical center for ambulatory patients; 2. An obstetric center; 3. An independent center for emergency medical care; 4. An agency to provide nursing in the home; 5. A facility for intermediat…

NAC 639.4575 “Pharmacy” defined. (NRS 639.070) “Pharmacy” means an area in a medical facility or correctional institution where drugs are stored, compounded, delivered, dispensed and distributed to other areas or departments of the facility or institution or dispensed to an ultim…

NAC 639.458 “Prescription” defined. (NRS 639.070) 1. “Prescription” means: (a) An order given individually for the person for whom a drug is prescribed, directly from a practitioner, or his or her agent, to a pharmacist or indirectly by means of an order signed by the practitione…

NAC 639.459 “Unit dose” defined. (NRS 639.070) “Unit dose” means medication packaged in packages containing only a single unit of medication. (Added to NAC by Bd. of Pharmacy, eff. 3-27-90)

NAC 639.460 “Unit of use” defined. (NRS 639.070) “Unit of use” means: 1. Medication intended to provide a specific dosage as a single dose; or 2. More than one dose of medication packaged as a single unit to provide a specific dosage. (Added to NAC by Bd. of Pharmacy, eff. 3-27-9…

NAC 639.461 Licensing. (NRS 639.070, 639.071) 1. A separate license to conduct a pharmacy in a hospital must be obtained for each location of a hospital which is required to obtain a license from the Health Care Purchasing and Compliance Division of the Nevada Health Authority. A…

NAC 639.462 Biennial registration. (NRS 639.070, 639.071, 639.072) 1. A pharmacy shall register biennially with the Board on a form provided by the Board. A list of each type of pharmaceutical service provided by the pharmacy that would otherwise be required to be licensed must b…

NAC 639.463 Change of ownership. (NRS 639.070, 639.170) 1. If a pharmacy changes ownership, it must obtain a new and separate registration from the Board. 2. The fee established in NRS 639.170 will be charged for the issuance of a new certificate of registration. (Added to NAC by…

NAC 639.464 Scope of services in hospital or correctional institution. (NRS 639.070, 639.071, 639.072) In a hospital or correctional institution: 1. The scope of services provided by a pharmacy must be consistent with the needs of the patients for medication as determined by the …

NAC 639.4645 Maintenance of registration certificates required. (NRS 639.070, 639.071) If the primary function of a pharmacy in a hospital is the provision of inpatient services, the pharmacy shall maintain registration certificates and current renewal receipts thereof for all ph…

NAC 639.465 Managing pharmacist. (NRS 639.070, 639.071, 639.072) 1. A pharmacy located in a: (a) Hospital with 100 beds or more; or (b) Correctional institution housing 1,500 inmates or more, Ê must have one full-time managing pharmacist. That pharmacist may be a managing pharmac…

NAC 639.466 Consultant pharmacist. (NRS 639.070, 639.071, 639.072) 1. A consultant pharmacist may be the managing pharmacist of a pharmacy. 2. A consultant pharmacist and the medical facility or correctional institution that employs the consultant pharmacist must enter into a wri…

NAC 639.467 Staff pharmacists. (NRS 639.070, 639.071, 639.072) 1. The managing pharmacist of a pharmacy must be assisted by a sufficient number of additional registered pharmacists as are required to operate the pharmacy competently and safely, and to meet adequately the needs of…

NAC 639.468 Establishment of policies, procedures and systems. (NRS 639.070, 639.071, 639.072) The managing pharmacist of a pharmacy shall establish policies, procedures and systems related to the following matters, without limitation: 1. Preparation of parenteral medications com…

NAC 639.4685 Handling of medications in correctional institutions without pharmacies. (NRS 639.070, 639.072) A correctional institution that does not have a pharmacy may store medications to be dispensed to an ultimate user pursuant to the following requirements: 1. The responsib…

NAC 639.469 Standards for premises. (NRS 639.070, 639.071, 639.072) 1. A pharmacy shall have adequate space necessary for the storage, compounding, labeling, dispensing, distribution and sterile preparation of drugs prepared in the pharmacy. 2. The pharmacy must be kept clean and…

NAC 639.470 Security of premises. (NRS 639.070, 639.071, 639.072) 1. All areas occupied by a pharmacy must be able to be locked to prevent access by unauthorized personnel. 2. All personnel of the pharmacy, while on duty, are responsible for the security of the pharmacy and shall…

NAC 639.472 Maintenance of reference library. (NRS 639.070, 639.071, 639.072) A pharmacy must maintain a reference library that includes the following: 1. A current copy of: (a) All state statutes and regulations relating to the practice of pharmacy and to the sale of drugs and c…

NAC 639.473 Procurement and storage of drugs. (NRS 639.070, 639.071, 639.072) 1. The managing pharmacist of a pharmacy is responsible for the procurement and storage of drugs in that pharmacy. The managing pharmacist shall determine the specifications of all drugs procured by the…

NAC 639.474 Development and use of formulary. (NRS 639.070, 639.071, 639.072) A formulary must be developed and available for use by the managing or consultant pharmacist of a pharmacy. (Added to NAC by Bd. of Pharmacy, eff. 3-27-90; A 9-12-91)

NAC 639.475 Preparation and labeling of admixtures. (NRS 639.070, 639.071, 639.072) 1. The managing pharmacist shall provide written guidelines for preparing parenteral admixture products to ensure that all pharmaceutical requirements are met. 2. A label must be affixed to the co…

NAC 639.476 Prepackaging of drugs. (NRS 639.070, 639.071, 639.072) 1. A pharmacy may prepackage drugs in quantities suitable for distribution within the facility or institution. The prepackaging may be performed only by a pharmacist or a pharmaceutical technician. 2. The label of…

NAC 639.477 Policies and procedures for distribution of drugs. (NRS 639.070, 639.071, 639.072) 1. All medical facilities and correctional institutions shall develop and carry out written policies and procedures for the distribution of drugs in that facility or institution. The st…

NAC 639.478 Limitations on distribution of drugs. (NRS 639.070, 639.071, 639.072) 1. A drug may be given to a patient in a medical facility or correctional institution only on the order of a practitioner or an agent of the practitioner. 2. A drug may be distributed in a medical f…

NAC 639.479 Withdrawal of drugs when full-time pharmacist is absent. (NRS 639.070, 639.071, 639.072) If a medical facility or correctional institution encompasses a pharmacy with a full-time pharmacist, and a practitioner orders a drug for administration to a patient of the facil…

NAC 639.480 Withdrawal of drugs when part-time or consultant pharmacist is absent. (NRS 639.070, 639.071, 639.072) If a medical facility or correctional institution has a pharmacy with a part-time or consultant pharmacist, and a practitioner orders a drug for administration to a …

NAC 639.481 Withdrawal of drugs when facility uses floor stock and pharmacy is closed. (NRS 639.070, 639.071, 639.072) If a medical facility or correctional institution uses a full or partial floor stock to distribute drugs and its pharmacy is closed: 1. Controlled substances, da…

NAC 639.482 Maintenance and availability of records. (NRS 639.070, 639.071, 639.072) 1. Each record required to be kept pursuant to NAC 639.483 to 639.489, inclusive, must be kept by a pharmacy for at least 2 years after the date of the record. 2. Records maintained by a pharmacy…

NAC 639.483 Statutes applicable to maintenance of records. (NRS 639.070, 639.071, 639.072) A pharmacy must maintain records for outpatients pursuant to the provisions of chapters 453, 454 and 639 of NRS governing retail pharmacies. (Added to NAC by Bd. of Pharmacy, eff. 3-27-90; …

NAC 639.484 Contents and maintenance of chart orders. (NRS 639.070, 639.071, 639.072) 1. Each original chart order must contain: (a) The patient’s name and the medical facility’s or correctional institution’s identification of that patient; (b) The name of the drug, its strength …

NAC 639.485 Maintenance of records for controlled substances. (NRS 639.070, 639.071, 639.072) 1. A pharmacy shall maintain records for controlled substances: (a) In a readily retrievable manner. (b) In a manner that establishes the receipt, distribution and destruction of all con…

NAC 639.486 Maintenance of records of controlled substances administered from floor stock. (NRS 639.070, 639.071, 639.072) 1. A pharmacy shall maintain records of controlled substances administered from floor stock. The records must include: (a) The name of the patient to whom th…

NAC 639.487 Maintenance of additional records. (NRS 639.070, 639.071, 639.072) In addition to any other requirements for keeping records, a pharmacy shall maintain the following records: 1. Copy 3 of the order form of the Drug Enforcement Administration (DEA 222C), properly dated…