CHAPTER 639 - PHARMACISTS AND PHARMACY

NAC 639.752 Restrictions on filling or dispensing certain prescriptions. (NRS 639.070, 639.0727) 1. Except as otherwise provided in this section and NRS 639.235, a pharmacist shall not fill a prescription for, or dispense, a dangerous drug or a controlled substance if the prescri…

NAC 639.753 Declination of pharmacist to fill prescription. (NRS 639.070) 1. A pharmacist may decline to fill a prescription that satisfies the requirements of this chapter and chapter 639 of NRS only if the pharmacist reasonably believes, in his or her professional judgment, tha…

NAC 639.754 Refilling prescriptions: Restrictions; authorization by patient without specific request for particular refill. (NRS 639.070) 1. When refilling a prescription, a pharmacy shall not select a drug from stock, place any drug in a container for dispensing or affix a label…

NAC 639.755 Sale of preparations for treatment of asthma. (NRS 639.070) A preparation which: 1. Is intended and designed for the treatment of asthma; and 2. Contains hypnotic drugs in combination with drugs which are not hypnotic and which render the preparation incapable of prod…

NAC 639.756 Retail community pharmacy: Required notice of availability of prescription readers; directions or advice on obtaining prescription reader. (NRS 639.070, 639.28015) 1. To comply with the provisions of NRS 639.28015, regarding notice about the availability of prescripti…

NAC 639.757 Preparation and sale of compounded drugs by pharmacy, pharmacist or dispensing practitioner: License as manufacturer not required under certain circumstances; use of bulk drug substances; unsafe or ineffective drug. (NRS 639.070) 1. A pharmacy, pharmacist or dispensin…

NAC 639.760 Return of unused drugs packaged in unit doses. (NRS 639.070, 639.267) 1. Dangerous drugs and controlled substances may be returned to the pharmacy which dispensed them, pursuant to subsection 3 of NRS 639.267, if they are packaged in unit doses by the original manufac…

NAC 639.765 Disclosure by practitioner of certain ownership interests in pharmacy. (NRS 639.070) If a practitioner or any member of the practitioner’s family within the third degree of consanguinity holds an interest in a corporation which: 1. Has any of its shares registered und…

NAC 639.771 Requirements for pharmacist to dispense under protocol. (NRS 639.070, 639.28077) 1. Except as otherwise provided in subsection 7 of NAC 639.773, a pharmacist who wishes to dispense self-administered hormonal contraceptives under the protocol prescribed in NAC 639.773 …

NAC 639.772 Adoption of certain eligibility criteria by reference; revision of publication after adoption. (NRS 639.070, 639.28077) 1. Except as otherwise provided in subsection 2, the United States Medical Eligibility Criteria for Contraceptive Use published by the Centers for D…

NAC 639.773 Protocol for dispensing. (NRS 639.070, 639.28077) 1. The protocol prescribed pursuant to NRS 639.28077 consists of compliance with subsections 2 to 8, inclusive. 2. Before initially dispensing a self-administered hormonal contraceptive to a patient under the protocol,…

NAC 639.774 Risk assessment questionnaire. (NRS 639.070, 639.28077) The risk assessment questionnaire described in paragraph (a) of subsection 2 of NRS 639.28077 must be in substantially the following form: HORMONAL CONTRACEPTIVE RISK ASSESSMENT QUESTIONNAIRE FOR PATIENT COMPLETI…

NAC 639.776 “Drug” defined. (NRS 639.070, 639.28085) For the purposes of NRS 639.28085 and NAC 639.776 to 639.779, inclusive, “drug” includes a latex or polyurethane prophylactic device, including, without limitation, a latex or polyurethane condom. (Added to NAC by Bd. of Pharma…

NAC 639.777 Requirements for pharmacist to prescribe, dispense and administer. (NRS 639.070, 639.28085) 1. A pharmacist may prescribe, dispense and administer drugs approved by the United States Food and Drug Administration for preventing the acquisition of human immunodeficiency…

NAC 639.778 Procedure for prescribing, dispensing and administering preexposure and postexposure prophylaxis drugs. (NRS 639.070, 639.28085) 1. Except as otherwise provided in subsection 2 of NAC 639.779, a pharmacist shall, before prescribing, dispensing or administering a preex…

NAC 639.7785 Adoption by reference of certain guidelines; revision of publication after adoption. (NRS 639.070, 639.28085) 1. Except as otherwise provided in subsection 2, the following publications are hereby adopted by reference: (a) Preexposure Prophylaxis for the Prevention o…

NAC 639.779 Compliance with certain guidelines, laws and regulations; prescribing, dispensing and administering without laboratory testing; plan of care for treatment. (NRS 639.070, 639.28085) 1. Except as otherwise provided in subsection 2, a pharmacist shall comply with the pub…

NAC 639.7792 Registration of pharmacist; compliance with certain laws and regulations. (NRS 453.221, 639.070, 639.28079) 1. A pharmacist who wishes to engage in the activity authorized by NRS 639.28079 must: (a) Register with the Board to dispense controlled substances in the man…

NAC 639.7794 Assessment of patient. (NRS 453.221, 639.070, 639.28079) Before offering medication-assisted treatment to a patient pursuant to paragraphs (b) and (c) of subsection 1 of NRS 639.28079, a pharmacist must: 1. Assess the patient pursuant to paragraph (a) of subsection 1…

NAC 639.7795 Documented treatment plan. (NRS 453.221, 639.070, 639.28079) 1. A pharmacist who offers medication-assisted treatment to a patient pursuant to NRS 639.28079 shall establish a documented treatment plan tailored to the needs of the patient. The documented treatment pla…

NAC 639.7796 Reviews of care. (NRS 453.221, 639.070, 639.28079) A pharmacist providing medication-assisted treatment to a patient pursuant to NRS 639.28079 shall document and conduct periodic reviews of the care of the patient. The periodic reviews must be conducted at reasonable…

NAC 639.7798 Records. (NRS 453.221, 639.070, 639.28079) A pharmacist shall: 1. Maintain complete and accurate records of the medication-assisted treatment provided to a patient pursuant to NRS 639.28079, including, without limitation, any records required pursuant to chapter 639 …

NAC 639.781 Definitions. (NRS 639.070) As used in this section and NAC 639.784 and 639.788: 1. “Original label” means the label affixed by an original pharmacy to the container of a controlled substance or dangerous drug. 2. “Original pharmacy” means a pharmacy that dispenses a c…

NAC 639.784 Duties of repackaging pharmacy. (NRS 639.070) Except as otherwise provided in NAC 639.788, a pharmacy may repackage a controlled substance or dangerous drug that was previously dispensed by an original pharmacy if the repackaging pharmacy: 1. Makes a record of the: (a…

NAC 639.788 Restrictions on repackaging pharmacy. (NRS 639.070) A repackaging pharmacy shall not: 1. Repackage more than one controlled substance or dangerous drug in each unit-of-use container. 2. Repackage a controlled substance or dangerous drug that has been previously repack…

NAC 639.815 Real-time, stop sale system: Minimum requirements for approval by the Board. (NRS 639.070, 639.430) 1. For a real-time, stop sale system to be approved by the Board pursuant to NRS 639.430 for use by pharmacies in this State, the real-time, stop sale system must, at a…

NAC 639.817 Real-time, stop sale system: Duties of pharmacy; completion of sale or transfer despite an alert from or without first consulting the system authorized in certain circumstances. (NRS 639.070, 639.430, 639.440) 1. Except as otherwise provided in NRS 639.440, on or befo…

NAC 639.823 “Acute pain” interpreted. (NRS 639.070, 639.23916) As used in NRS 639.2391, “acute pain” means pain that has an abrupt onset and is caused by injury or another cause that is not ongoing. The term does not include chronic pain or pain that is being treated as part of c…

NAC 639.826 “Course of treatment” interpreted. (NRS 639.070, 639.23916) As used in NRS 639.0082, 639.23507, 639.2391 to 639.23916, inclusive, and NAC 639.823 to 639.838, inclusive, “course of treatment” means all treatment of a patient for a particular disease or symptom of a dis…

NAC 639.831 Requirements included to “obtain informed written consent to the use of the controlled substance.” (NRS 639.070, 639.23916) As used in NRS 639.23911, to “obtain informed written consent to the use of the controlled substance” includes, without limitation: 1. Viewing i…

NAC 639.834 Review of medical history and physical examination of patient; good faith effort to obtain and review medical records; determination of whether medical record is necessary. (NRS 639.070, 639.23916) 1. A practitioner conducting a review of the medical history and physi…

NAC 639.836 Practitioner not prohibited from prescribing or increasing dosage of controlled substance under certain circumstances. (NRS 639.070, 639.23916) The Board does not construe NRS 639.23507 to prohibit a practitioner from: 1. Prescribing a controlled substance listed in s…

NAC 639.838 Prescription medication agreement: Authority of patient to enter into agreement with group of practitioners; review and update by practitioner. (NRS 639.070, 639.23916) 1. A patient may enter into a prescription medication agreement in satisfaction of the requirements…

NAC 639.841 “Collaborating physician” defined. (NRS 639.070) As used in NAC 639.841 to 639.900, inclusive, unless the context otherwise requires, “collaborating physician” has the meaning ascribed to it in NAC 632.038. (Added to NAC by Bd. of Pharmacy by R015-03, eff. 10-21-2003)

NAC 639.846 Change in location of practice or collaborating physician. (NRS 639.070) If a change in the location of practice or the collaborating physician of an advanced practice registered nurse occurs, the advanced practice registered nurse shall submit the change in writing t…

NAC 639.850 Certificate of registration: Application; appearance before Board. (NRS 639.070, 639.2351) 1. The application of an advanced practice registered nurse for a certificate of registration to prescribe controlled substances, poisons, dangerous drugs and devices must inclu…

NAC 639.854 Scope of authority to prescribe. (NRS 639.070, 639.2351) 1. Except as otherwise provided in subsection 2, an advanced practice registered nurse who is authorized to prescribe controlled substances, poisons, dangerous drugs and devices or to prescribe poisons, dangerou…

NAC 639.858 Authorization to write prescription in form of chart order or physician’s order. (NRS 639.070) If an advanced practice registered nurse is authorized by a correctional institution, hospital or any other licensed medical facility, he or she may write a prescription in …

NAC 639.870 Certificate of registration: Application; fee; period of validity; appearance before Board; collaborating physician; late renewal. (NRS 639.070, 639.1375) 1. The application of an advanced practice registered nurse for a certificate of registration to dispense control…

NAC 639.879 Scope of authority to dispense. (NRS 639.070, 639.1375) 1. An advanced practice registered nurse who dispenses drugs to a patient shall do so in accordance with: (a) All applicable statutes and regulations; and (b) The agreement between the advanced practice registere…

NAC 639.892 Use of child-proof container. (NRS 639.070, 639.1375) A controlled substance, dangerous drug or poison dispensed by an advanced practice registered nurse must be dispensed in a child-proof container unless the advanced practice registered nurse determines that a child…

NAC 639.898 Security and storage of controlled substances and drugs. (NRS 639.070, 639.1375) 1. All controlled substances and dangerous drugs which are in the possession of an advanced practice registered nurse must be kept in a locked storage area. Access to the storage area mus…

NAC 639.900 Grounds for denial of application or suspension or revocation of registration. (NRS 639.070, 639.210) The Board may deny the application of an advanced practice registered nurse for a certificate of registration or suspend or revoke his or her certificate of registrat…

NAC 639.902 “Certified registered nurse anesthetist” defined. (NRS 453.221, 639.070) As used in NAC 639.904, 639.906 and 639.908, unless the context otherwise requires, “certified registered nurse anesthetist” has the meaning ascribed to it in NRS 632.014. (Added to NAC by Bd. of…

NAC 639.904 Certificate of registration required to order, prescribe, possess and administer controlled substances, poisons, dangerous drugs and devices; application; fee; appearance before Board; renewal. (NRS 453.221, 639.070) 1. A certified registered nurse anesthetist shall n…

NAC 639.906 Notification of Board concerning change to practice location. (NRS 453.221, 639.070) A certified registered nurse anesthetist shall notify the Board in writing of a change in the location of the practice of the certified registered nurse anesthetist not later than 10 …

NAC 639.908 Grounds for denial of application or suspension or revocation of registration. (NRS 453.221, 639.070) The Board may deny the application of a certified registered nurse anesthetist for a certificate of registration or suspend or revoke his or her certificate of regist…