1. Except as
otherwise provided in section 1 , each practitioner who is registered with the
Board to dispense controlled substances and dangerous drugs, including, without
limitation, a dispensing practitioner, and who dispenses such products for use
by the practitioner's patients outside his or her presence shall:
(a) Keep complete, accurate and readily
retrievable records of each controlled substance and dangerous drug purchased
and dispensed. The record for each such product dispensed to a patient must
include:
(1) The name of the patient and, if
not readily available from the practitioner's records, the patient's
address;
(2) The name, strength and
quantity of the prescribed controlled substance or dangerous drug;
(3) The directions for use;
(4) The date the prescription was issued;
and
(5) A unique identifying
number.
(b) Maintain a
separate file for the records concerning the purchase of each controlled
substance listed in schedule II and a separate file for the records concerning
the dispensing of each controlled substance listed in schedule II. Each
prescription for a controlled substance or dangerous drug must be maintained in
a separate file pursuant to the requirements set forth in NAC
453.480.
(c) Keep all controlled substances and
dangerous drugs in a locked storage area. Access to the storage area must be
restricted to the persons described in
NRS
453.375.
(d) Ensure that each package or container in
which a controlled substance is dispensed, except samples in the manufacturer's
packages, is clearly labeled pursuant to the requirements set forth in
NRS
639.2801.
(e) Ensure that the package or container in
which a controlled substance or dangerous drug is dispensed complies with all
state and federal packaging requirements.
(f) Be deemed to be a pharmacy as that term
is used in NAC
639.926 and shall comply with
that section.
2. Except
as otherwise provided in section 1 , a practitioner may dispense dangerous
drugs or controlled substances only after the patient has been informed by the
practitioner that the patient may request a written prescription and have it
filled at another location of the patient's choosing.
3. A record regarding the dispensing of a
controlled substance or dangerous drug made and kept pursuant to this section
must be maintained on paper or in a computer. If the record is:
(a) Maintained on paper, the record must:
(1) Include all the information required to
be on the prescription pursuant to
NRS
639.2353 and NAC
453.440;
(2) Set forth on the front of the
prescription a certification initialed and dated by the patient that the
patient has been informed by the practitioner in accordance with subsection 2
and that the patient has agreed to have the practitioner dispense the
controlled substance or dangerous drug; and
(3) Be serially numbered and kept in
numerical order in a single file for all dispensing practitioners, including,
without limitation, physician assistants and advanced practice registered
nurses, practicing at the same location.
(b) Maintained in a computer, the record
must:
(1) Include all the information
required to be on the prescription pursuant to
NRS
639.2353 and NAC 453.440;
(2) Contain a certification, either in the
computer or a separate paper document, initialed and dated by the patient that
the patient has been informed by the practitioner in accordance with subsection
2 and that the patient has agreed to have the practitioner dispense the
controlled substance or dangerous drug; and
(3) Be searchable for any item required by
paragraph (a) of subsection 1 to be included in the record.
Added to NAC by Bd. of
Pharmacy, eff. 2-6-90; A by R034-02, 5-30-2003; R157-04, 10-22-2004; R037-10,
10-15-2010; A by
R015-18A,
eff. 4/30/2018
