reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 638 - Veterinarians › Chapter - EQUINE DENTISTRY › Section 638.744 - Expiration and renewal of certificate; fee

Current through June 11, 2024
1. Each
			 certificate of registration issued pursuant to NAC
			 638.742 or renewed pursuant to
			 this section expires on January 1 of each year.
2. Each application for renewal of a
			 certificate of registration must be:
(a)
			 Submitted in the form established by the Board;
(b) Signed by the equine dental
			 provider;
(c) Accompanied by proof
			 that his or her certification from a professional equine dentistry organization
			 approved by the Board is current; and
(d) Accompanied by proof that the equine
			 dental provider completed, during the immediately preceding calendar year, at
			 least 8 hours of continuing education in equine dentistry approved by the
			 Board.
Nevada Administrative Code › Chapter 638 - Veterinarians › Chapter - EQUINE DENTISTRY › Section 638.746 - Standards of practice for equine dental provider holding certificate; maintenance of records

Current through June 11, 2024
1. An equine dental
			 provider who has been issued a certificate of registration pursuant to NAC
			 638.742 may practice equine
			 dentistry only:
(a) Under the direct
			 supervision of a licensed veterinarian who has established a valid
			 veterinarian-client-patient relationship concerning the animal receiving the
			 equine dentistry treatment and has performed an appropriate examination of the
			 animal not more than 12 hours before the equine dentistry is performed;
			 and
(b) If the equine dental
			 provider assumes individual liability for the quality of the equine dentistry
			 performed by the equine dental provider.
Nevada Administrative Code › Chapter 638 - Veterinarians › Chapter - EQUINE DENTISTRY › Section 638.748 - Disciplinary action

Current through June 11, 2024
1. A violation of
			 the provisions of this chapter or chapter 638 of NRS, or a ruling of misconduct
			 or noncompliance with the standards of practice of equine dentistry by a
			 professional equine dentistry organization approved by the Board, may be
			 grounds for disciplinary action.
2.
			 If the Board determines that an applicant for a certificate of registration
			 pursuant to NAC
			 638.742 or an equine dental
			 provider who has been issued a certificate of registration pursuant to NAC
			 638.742 has committed any act
			 which is a ground for disciplinary action, the Board may:
(a) Refuse to issue a certificate of
			 registration.
(b) Refuse to renew a
			 certificate of registration.
(c)
			 Revoke a certificate of registration.
(d) Suspend a certificate of registration for
			 a definite period or until further order of the Board.
(e) Impose an administrative fine in an
			 amount not to exceed $10,000 for each act that constitutes a ground for
			 disciplinary action.
(f) Place an
			 equine dental provider who has been issued a certificate of registration on
			 probation subject to any reasonable conditions imposed by the Board, including,
			 without limitation, requiring courses in continuing education or a periodic or
			 continuous review of his or her practice of equine dentistry.
(g) Administer a public reprimand or consent
			 decree.
(h) Require the equine
			 dental provider who has been issued a certificate of registration to take a
			 competency examination or a mental or physical examination.
(i) Require the equine dental provider who
			 has been issued a certificate of registration to pay all costs, including,
			 without limitation, attorney's fees, incurred by the Board in taking
			 disciplinary action against him or her.
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL PHYSICAL THERAPY › Section 638.750 - "Animal physical therapy" defined

Current through June 11, 2024
As used in NAC 638.750 to 638.790, inclusive,
			 "animal physical therapy" means the rehabilitation of injuries in a nonhuman
			 animal through the use of the following techniques, but does not include animal
			 chiropractic:
1. Stretching;
2. Massage therapy;
3. Rehabilitative exercise;
4. Hydrotherapy;
5. Application of heat or cold; and
6. Stimulation by the use of:
(a) Low-level lasers;
(b) Electrical sources;
(c) Magnetic fields; or
(d) Noninvasive therapeutic
			 ultrasound.
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL PHYSICAL THERAPY › Section 638.760 - Requirements to practice; application for certificate of registration; fee

Current through June 11, 2024
1. A person shall not practice animal
			 physical therapy in this State unless he or she is:
(a) A veterinarian;
(b) A licensed veterinary technician who
			 complies with the provisions of NAC 638.053; or
(c) A physical therapist who has obtained a
			 certificate of registration pursuant to this section and complies with the
			 provisions of NAC
			 638.780.
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL PHYSICAL THERAPY › Section 638.770 - Expiration and renewal of certificate; fee

Current through June 11, 2024
1. Each
			 certificate of registration issued pursuant to NAC
			 638.760
			 or renewed pursuant to this section expires on June 30 of each odd-numbered
			 year.
2. Each application for
			 renewal of a certificate of registration must be:
(a) Submitted in the form established by the
			 Board;
(b) Signed by the physical
			 therapist;
(c) Accompanied by proof
			 that the physical therapist completed:
(1)
			 Except as otherwise provided in subparagraph (2), at least 10 hours of
			 continuing education in animal physical therapy approved by the Board during
			 the 24-month period immediately preceding the beginning of the new period of
			 registration; or
(2) If the
			 physical therapist was issued the certificate of registration on or after
			 October 1 of the immediately preceding even-numbered year, at least 5 hours of
			 continuing education in animal physical therapy approved by the Board during
			 the 12-month period immediately preceding the beginning of the new period of
			 registration; and
(d)
			 Accompanied by proof that his or her license as a physical therapist in this
			 State is active and that he or she is in good standing with the Nevada Physical
			 Therapy Board.
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL PHYSICAL THERAPY › Section 638.780 - Standards of practice for physical therapist holding certificate; maintenance of records

Current through June 11, 2024
1. A physical
			 therapist who has been issued a certificate of registration pursuant to NAC
			 638.760 may practice animal physical therapy only:
(a) Under the direction of a veterinarian
			 licensed in this State who has established a valid veterinarian-client-patient
			 relationship concerning the animal receiving the animal physical therapy before
			 the animal physical therapy is performed; and
(b) If the physical therapist assumes
			 individual liability for the quality of the animal physical therapy
			 performed.
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL PHYSICAL THERAPY › Section 638.790 - Disciplinary action

Current through June 11, 2024
1. A violation of a
			 provision of chapter 638 or 640 of NRS or a regulation adopted by the State
			 Board of Physical Therapy Examiners or the Nevada State Board of Veterinary
			 Medical Examiners is a ground for disciplinary action.
2. If the Nevada State Board of Veterinary
			 Medical Examiners determines that an applicant for a certificate of
			 registration pursuant to NAC 638.760 or a physical therapist who has been
			 issued a certificate of registration pursuant to NAC 638.760 has committed any
			 act which is a ground for disciplinary action, the Board may:
(a) Refuse to issue a certificate of
			 registration;
(b) Refuse to renew a
			 certificate of registration;
(c)
			 Revoke a certificate of registration;
(d) Suspend a certificate of registration for
			 a definite period or until further order of the Board;
(e) Impose a fine in an amount not to exceed
			 $10,000 for each act that constitutes a ground for disciplinary
			 action;
(f) Place a physical
			 therapist who has been issued a certificate of registration on probation
			 subject to any reasonable conditions imposed by the Board, including, without
			 limitation, requiring courses in continuing education or a periodic or
			 continuous review of his or her animal physical therapy practice;
(g) Administer a public reprimand;
(h) Require the physical therapist who has
			 been issued a certificate of registration to take a competency examination or a
			 mental or physical examination; and
(i) Require the physical therapist who has
			 been issued a certificate of registration to pay all costs, including, without
			 limitation, attorney's fees, incurred by the Board in taking disciplinary
			 action against him or her.
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL CHIROPRACTIC › Section 638.800 - "Animal chiropractic" defined

Current through June 11, 2024
As used in NAC
			 638.800 to
			 638.840, inclusive, "animal
			 chiropractic" means the examination and treatment of a nonhuman animal that is
			 noninvasive, nonsurgical, drug-free and which seeks to treat and manage
			 musculoskeletal disorders that affect the joints, discs, soft tissue and nerves
			 that are biomechanical in nature.
Added to NAC by Bd. of Veterinary
			 Med. Exam'rs by R115-99, eff. 12-7-99; A by R110-02, 11-6-2002; A by
			 R082-22A,
			 eff. 12/16/2022
NRS
			 638.070
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL CHIROPRACTIC › Section 638.810 - Requirements to practice; application for registration certificate; fee

Current through June 11, 2024
1. A person shall not practice animal
			 chiropractic in this State unless he or she is:
(a) A veterinarian; or
(b) A chiropractor who has obtained a
			 certificate of registration pursuant to this section and complies with the
			 provisions of NAC
			 638.830.
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL CHIROPRACTIC › Section 638.820 - Expiration and renewal of certificate; fee

Current through June 11, 2024
1. Each
			 certificate of registration issued pursuant to NAC
			 638.810
			 or renewed pursuant to this section expires on June 30 of each odd-numbered
			 year.
2. Each application for
			 renewal of a certificate of registration must be:
(a) Submitted in the form established by the
			 Board;
(b) Signed by the
			 chiropractor;
(c) Accompanied by
			 proof that the chiropractor completed:
(1)
			 Except as otherwise provided in subparagraph (2), at least 30 hours of
			 continuing education in animal chiropractic approved by the Board during the
			 24-month period immediately preceding the beginning of the new period of
			 registration; or
(2) If the
			 chiropractor was issued the certificate of registration on or after October 1
			 of the immediately preceding even-numbered year, at least 15 hours of
			 continuing education in animal chiropractic approved by the Board during the
			 12-month period immediately preceding the beginning of the new period of
			 registration; and
(d)
			 Accompanied by proof that his or her license as a chiropractor in this State is
			 active and that he or she is in good standing with the Chiropractic Physicians'
			 Board of Nevada.
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL CHIROPRACTIC › Section 638.830 - Standards of practice for chiropractor holding certificate; maintenance of records

Current through June 11, 2024
1. A chiropractor
			 who has been issued a certificate of registration pursuant to NAC 638.810 may
			 practice animal chiropractic only:
(a) Under
			 the direction of a veterinarian licensed in this State who has established a
			 valid veterinarian-client-patient relationship concerning the animal receiving
			 the animal chiropractic before the animal chiropractic is performed;
			 and
(b) If the chiropractor assumes
			 individual liability for the quality of the animal chiropractic
			 performed.
Nevada Administrative Code › Chapter 638 - Veterinarians › ANIMAL CHIROPRACTIC › Section 638.840 - Disciplinary action

Current through June 11, 2024
1. A violation of a
			 provision of chapter 634 or 638 of NRS or a regulation adopted by the
			 Chiropractic Physicians' Board of Nevada or the Nevada State Board of
			 Veterinary Medical Examiners is a ground for disciplinary action.
2. If the Nevada State Board of Veterinary
			 Medical Examiners determines that an applicant for a certificate of
			 registration pursuant to NAC 638.810 or a person who has been issued a
			 certificate of registration pursuant to NAC 638.810 has committed any act which
			 is a ground for disciplinary action, the Board may:
(a) Refuse to issue a certificate of
			 registration;
(b) Refuse to renew a
			 certificate of registration;
(c)
			 Revoke a certificate of registration;
(d) Suspend a certificate of registration for
			 a definite period or until further order of the Board;
(e) Impose a fine in an amount not to exceed
			 $10,000 for each act that constitutes a ground for disciplinary
			 action;
(f) Place a person who has
			 been issued a certificate of registration on probation subject to any
			 reasonable conditions imposed by the Board, including, without limitation,
			 requiring courses in continuing education or a periodic or continuous review of
			 his or her animal chiropractic practice;
(g) Administer a public reprimand;
(h) Require the person who has been issued a
			 certificate of registration to take a competency examination or a mental or
			 physical examination; and
(i)
			 Require the person who has been issued a certificate of registration to pay all
			 costs, including, without limitation, attorney's fees, incurred by the Board in
			 taking disciplinary action against him or her.
Nevada Administrative Code › Chapter 638 - Veterinarians › MISCELLANEOUS PROVISIONS › Section 638.850 - Inspection of veterinary facilities and vaccination clinics: Authorization and procedure

Current through June 11, 2024
1. An inspector
			 approved by the Board may conduct inspections of veterinary facilities and
			 vaccination clinics.
2. Each
			 inspector shall evaluate a veterinary facility or vaccination clinic for
			 compliance with the practice of veterinary medicine pursuant to the provisions
			 of this chapter and chapter 638 of NRS.
3. Each inspector shall:
(a) During an inspection, use a form for
			 inspection approved by the Board. The form must include:
(1) A description of the nature of any
			 violation;
(2) The specifications
			 for any changes required to be made to correct the violation; and
(3) The time allowed to correct the
			 violation.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1 - NEW

Current through June 11, 2024
Chapter 639 of NAC is hereby amended by adding thereto a new
			 section to read as follows:
The Executive Secretary may require a person who submits an
			 application for the issuance of a license, certificate or permit pursuant to
			 chapter 453, 454 or 639 of NRS or an application for the renewal of any such
			 license, certificate or permit to appear at the next regular meeting of the
			 Board if the application contains any information that indicates the applicant
			 engaged in conduct which would be prohibited pursuant to
			 NRS
			 453.236,
			 639.210
			 or
			 639.2895.
Added to NAC by
			 Bd. of Pharmacy by
			 R041-20A,
			 eff. 8/26/2020
NRS
			 639.070,
			 639.180
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1.1 - NEW

Current through June 11, 2024
1. Except as otherwise provided in subsection
		  2, the following publications are hereby adopted by reference:
(a) "Guidance on the Use of Expedited Partner
		  Therapy in the Treatment of Gonorrhea," available from the Centers for Disease
		  Control and Prevention of the United States Department of Health and Human
		  Services at no cost on the Internet at
https://www.cdc.gov/std/ept/gc-guidance.htm
,
		  or, if that Internet website ceases to exist, from the Board.
(b) "Expedited Partner Therapy in the
		  Management of Sexually Transmitted Diseases: Review and Guidance," available
		  from the Centers for Disease Control and Prevention of the United States
		  Department of Health and Human Services at no cost on the Internet at
https://www.cdc.gov/std/treatment/eptfinalreport2006.pdf
,
		  or, if that Internet website ceases to exist, from the Board.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1.3 - NEW

Current through June 11, 2024
Chapter 639 of NAC is hereby amended by adding thereto a new
			 section to read as follows:
1. A
		  prescription for the dispensing of a drug to the ultimate user may instead be
		  dispensed to a practitioner if:
(a) The United
		  States Food and Drug Administration has adopted a risk evaluation and
		  mitigation strategy for the drug pursuant to
		  21 U.S.C. §
									355-1 that requires the drug to be
		  administered only under the direct supervision of a provider of health care;
		  and
(b) The practitioner is
		  authorized by federal and state law to possess the drug.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1.6 - NEW

Current through June 11, 2024
1. Pursuant to section 1 of Assembly Bill No.
		  177, chapter 184, Statutes of Nevada 2021, at page 861 (NRS 639.28013) , each
		  pharmacy, except for an institutional pharmacy, shall, upon the request of the
		  prescribing practitioner, a patient or an authorized representative of a
		  patient, provide the information required by subsection 6 of
		  NRS
		  639.2801 in both English and any one of the
		  following languages:
(a) Spanish;
(b) Tagalog;
(c) Chinese, in both traditional and
		  simplified;
(d) Amharic;
(e) Somali;
(f) Vietnamese; or
(g) Korean.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1.7 - NEW

Current through June 11, 2024
1. A practitioner who is practicing in a
		  hospital or independent center for emergency medical care may dispense a
		  controlled substance that has been approved by the United States Food and Drug
		  Administration for the treatment of opioid use disorder without registering
		  pursuant to NAC
		  639.742 if the practitioner is
		  registered to dispense controlled substances pursuant to
		  NRS
		  453.226.
2. A practitioner who dispenses a controlled
		  substance that has been approved by the United States Food and Drug
		  Administration for the treatment of opioid use disorder shall comply with:
(a)
								21 C.F.R. Parts
		  1306 and
		  1307;
(b) Any requirements concerning labeling or
		  recordkeeping that apply to practitioners who are registered pursuant to NAC
		  639.742; and
(c) The requirements
		  of NAC 639.926 concerning the
		  transmission of information to the Board.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1.9 - NEW

Current through June 11, 2024
1. Except as otherwise provided in this
		  section, one or more dispensing practitioners practicing at a reproductive
		  healthcare center may use an automated drug dispensing system and maintain a
		  shared inventory in the automated drug dispensing system to dispense a
		  prescription drug to a patient if the reproductive healthcare center obtains a
		  license from the Board for the automated drug dispensing system pursuant to
		  subsection 2.
2. The Board will
		  provide an application for a license for an automated drug dispensing system to
		  a reproductive healthcare center upon request. The Board will issue a license
		  for an automated drug dispensing system if the Board determines that the system
		  dispenses prescription drugs accurately and otherwise meets the requirements of
		  this section and the fee prescribed by NAC
		  639.220 is paid. A license must
		  be:
(a) Issued for each automated drug
		  dispensing system at a reproductive healthcare center; and
(b) Posted on the system so that the license
		  is visible to the public.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1.10 - NEW

Current through June 11, 2024
1. A person or public or private facility
		  shall not operate or provide the services of a facility for treatment with
		  narcotics unless the person or facility holds a license to administer opioid
		  agonist treatment medication issued by the Board pursuant to this
		  section.
2. A person or public or
		  private facility may apply to the Board for a license to administer opioid
		  agonist treatment medication by submitting an application to the Board on a
		  form prescribed by the Board. The Board shall issue such a license if the
		  applicant meets the requirements sets forth in subsection 3 and pays the fee
		  required by NAC
		  639.220.
3. An applicant for a license pursuant to
		  subsection 2 must:
(a) Be certified by the
		  Substance Abuse and Mental Health Services Administration of the United States
		  Department of Health and Human Services pursuant to
		  42 C.F.R. §
									8.11;
(b) Hold a license issued by the Division of
		  Public and Behavioral Health of the Department of Health and Human Services
		  pursuant to NAC
		  449.154 to
		  449.15485, inclusive, to operate
		  a facility for treatment with narcotics;
(c) Be certified by the Division of Public
		  and Behavioral Health of the Department of Health and Human Services pursuant
		  to NRS
		  458.025; and
(d) Ensure that each practitioner who
		  dispenses opioid agonist treatment medication at the facility is registered
		  with the Board pursuant to
		  NRS
		  453.231 and the Drug Enforcement
		  Administration of the United States Department of Justice to dispense
		  controlled substances.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1.11 - NEW

Current through June 11, 2024
1. In lieu of initiating disciplinary action
		  pursuant to NRS
		  639.241 to
		  639.255, inclusive, against a
		  person who holds a certificate, certification, license or permit issued by the
		  Board, the Executive Secretary of the Board may impose an administrative fine
		  of not more than $1,000 if the holder:
(a)
		  Engages in activity for which the certificate, certification, license or permit
		  is required after the certificate, certification, license or permit has expired
		  because the holder failed to submit the fee for renewal required by NAC
		  639.220; or
(b) Violates any regulation adopted by the
		  Board at any time during which the certificate, certification, license or
		  permit is effective.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1.12 - NEW

Current through June 11, 2024
1. A medical products provider may hold at a
		  hospital an inventory of ambulatory aids for sale to patients of the hospital
		  upon discharge if the medical products provider:
(a) Sells those ambulatory aids pursuant to a
		  contract with the hospital under which the hospital agrees to furnish the
		  appropriate providers of health care who will be available at all times to
		  assist patients with the use and operation of ambulatory aids.
(b) Employs an administrator who:
(1) Is designated as the medical products
		  provider's administrator for the hospital;
(2) Serves in that capacity for not more than
		  five hospitals, each of which is located not more than 50 miles from each of
		  the others;
(3) Meets the
		  requirements of NAC
		  639.694; and
(4) Is on call and reasonably available at
		  all times to assist patients with the use and operation of ambulatory aids
		  delivered to those patients at the site of the hospital upon their
		  discharge.
(c) Delivers
		  ambulatory aids to patients of the hospital only at the site of the
		  hospital.
(d) Is in compliance with
		  the requirements of subsection 2.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 1.13 - NEW

Current through June 11, 2024
1.
		  A registered nurse who wishes to dispense dangerous drugs for human consumption
		  pursuant to subsection 4 of
		  NRS
		  454.215 must apply to the Board on an
		  application provided by the Board for a certificate of registration to dispense
		  dangerous drugs for human consumption. A certificate of registration issued
		  pursuant to this section:
(a) Entitles the
		  registered nurse to dispense dangerous drugs for human consumption only when he
		  or she is engaged in the performance of any public health program approved by
		  the Board.
(b) Must be renewed at
		  the same time and in the same manner as certificates of registration by other
		  practitioners.
(c) Is a revocable
		  privilege, and no holder of such a certificate of registration acquires any
		  vested right therein or thereunder.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 2.1 - NEW

Current through June 11, 2024
1. Except as otherwise provided in subsection
		  7 of section 4, a pharmacist who wishes to dispense self-administered hormonal
		  contraceptives under the protocol prescribed in section 4 must:
(a) Complete a course of education concerning
		  self-administered hormonal contraceptives that:
(1) Consists of at least 1 hour of
		  instruction;
(2) Includes, without
		  limitation, instruction concerning the assessment of risks to the patient and
		  contraindications; and
(3) Is
		  approved by the Accreditation Council for Pharmacy Education or the American
		  College of Obstetricians and Gynecologists, or their successor organizations,
		  or provided by a school of pharmacy accredited by the Accreditation Council for
		  Pharmacy Education, or its successor organization; and
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 2.5 - NEW

Current through June 11, 2024
1. While engaging in the practice of pharmacy
		  at a location other than the site of a licensed pharmacy pursuant to the
		  provisions of NAC
		  639.403 or section 3, a
		  registered pharmacist may perform only:
(a)
		  The functions described in paragraphs (b), (c), (d) and (g) to (j), inclusive,
		  of subsection 1 of NRS 639.0124, except for
		  dispensing or administering drugs;
(b) The functions described in section 4 of
		  LCB File No. R036-21, except for dispensing a self-administered hormonal
		  contraceptive; and
(c) The
		  administration of immunizations pursuant to a written protocol established in
		  accordance with NAC
		  639.297 to
		  639.2978, inclusive.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 2.6 - NEW

Current through June 11, 2024
1. A pharmacist who wishes to engage in the
		  activity authorized by section
		  12.3 of Assembly Bill No. 156,
		  chapter 398, Statutes of Nevada 2023, at page 2367, must:
(a) Register with the Board to dispense
		  controlled substances in the manner prescribed by NAC
		  453.100 to
		  453.300, inclusive; and
(b) Register with the Board to engage in the
		  activity authorized by section
		  12.3 of Assembly Bill No. 156,
		  chapter 398, Statutes of Nevada 2023, at page 2367.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 2.7 - NEW

Current through June 11, 2024
As used in sections 3, 4 and 5, unless the context otherwise
			 requires, "certified registered nurse anesthetist" has the meaning ascribed to
			 it in NRS
			 632.014, as amended by section 2.8 of Senate
			 Bill No. 336, chapter 229, Statutes of Nevada 2023, at page
			 1445.
Added
			 to NAC by Bd. of Pharmacy by
			 R051-24A,
			 eff. 6/10/2024
NRS
				453.221,
				639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 3.1 - NEW

Current through June 11, 2024
1. Except as otherwise provided in subsection
		  2, the United States Medical Eligibility Criteria for Contraceptive Use
		  published by the Centers for Disease Control and Prevention of the United
		  States Department of Health and Human Services is hereby adopted by reference.
		  A copy of this publication may be obtained free of charge at the Internet
		  address
https://www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html
, or, if that Internet website ceases to exist, from the Board.
2. Except as otherwise provided in this
		  subsection, the most current version of the publication adopted by reference in
		  subsection 1 which is published will be deemed to be adopted by reference. The
		  Board will periodically review and determine, within 30 days after the review,
		  whether any change made to the publication listed in subsection 1 is
		  appropriate for application in this State. If the Board does not disapprove a
		  change to the publication within 30 days after the review, the change is deemed
		  to have been approved by the Board.
Added
			 to NAC by Bd. of Pharmacy by
			 R036-21A,
			 eff. 2/28/2022
NRS
			 639.070 and section 2.5 of Senate Bill No.
			 190, chapter 504, Statutes of Nevada 2021, at page 3268 (NRS 639.28077)
			 .
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 3.5 - NEW

Current through June 11, 2024
1. A registered pharmacist who is employed by
		  or under contract with a pharmacy, other than an institutional pharmacy, or who
		  is an employee of the State Government may engage in the practice of pharmacy
		  at a location other than the site of a licensed pharmacy in accordance with
		  this section and section 2.
2. A
		  registered pharmacist described in subsection 1 shall not engage in the
		  practice of pharmacy at a location other than the site of a licensed pharmacy
		  unless he or she is provided with the same computerized system and access to
		  data regarding a patient for whom a prescription has been submitted that is
		  available to a registered pharmacist in the pharmacy. Such data must include,
		  without limitation:
(a) A legible copy of the
		  prescription that is available as an electronic copy or a scanned image in the
		  computerized system of the pharmacy or by facsimile machine; and
(b) Any information that is available in the
		  computerized system of the pharmacy that is relevant or necessary for the
		  registered pharmacist to provide pharmaceutical services.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 3.6 - NEW

Current through June 11, 2024
Before offering medication-assisted treatment to a patient
			 pursuant to paragraphs (b) and (c) of subsection 1 of section
			 12.3 of Assembly Bill No. 156,
			 chapter 398, Statutes of Nevada 2023, at page 2367, a pharmacist must:
1. Assess the patient pursuant to paragraph
		  (a) of subsection 1 of section
		  12.3 of Assembly Bill No. 156,
		  chapter 398, Statutes of Nevada 2023, at page 2367; and
2. Document the assessment in the record of
		  the patient.
Added
			 to NAC by Bd. of Pharmacy by
			 R059-23A,
			 eff. 1/5/2024
NRS
				453.221,
				639.070, section
				12.3 of Assembly Bill No. 156,
				chapter 398, Statutes of Nevada 2023, at page
				2367
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 3.7 - NEW

Current through June 11, 2024
1.
		  A certified registered nurse anesthetist shall not order, prescribe, possess
		  and administer controlled substances, poisons, dangerous drugs and devices in
		  accordance with paragraph (a) of subsection 1 of section 2.6 of Senate Bill No.
		  336, chapter 229, Statutes of Nevada 2023, at page 1444 (NRS 632.2397), unless
		  he or she holds a certificate of registration issued by the Board.
2. Each application of a certified registered
		  nurse anesthetist for the issuance or renewal of a certificate of registration
		  to order, prescribe, possess and administer controlled substances, poisons,
		  dangerous drugs and devices in accordance with paragraph (a) of subsection 1 of
		  section 2.6 of Senate Bill No. 336, chapter 229, Statutes of Nevada 2023, at
		  page 1444 (NRS 632.2397), must be accompanied by the fee prescribed by NAC
		  639.220 and include:
(a) The name, address, social security number
		  and telephone number of the applicant;
(b) A copy of his or her:
(1) License as a registered nurse;
		  and
(2) Certificate of registration
		  as a certified registered nurse anesthetist; and
(c) Any other information requested by the
		  Board.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 4.1 - NEW

Current through June 11, 2024
1. The protocol prescribed pursuant to
		  section 2.5 of Senate Bill No. 190, chapter 504, Statutes of Nevada 2021, at
		  page 3268 (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, a pharmacist must:
(a) Provide the
		  patient with the risk assessment questionnaire prescribed in section 5 in
		  accordance with subsection 2 of section 3 of Senate Bill No. 190, chapter 504,
		  Statutes of Nevada 2021, at page 3269 (NRS 639.28078) , and, if the patient
		  completes the questionnaire, discuss the results of the questionnaire with the
		  patient; and
(b) Utilize a
		  treatment algorithm to determine whether it is safe to dispense a
		  selfadministered hormonal contraceptive to the patient. The treatment algorithm
		  must include, without limitation:
(1) Training
		  and education of the patient concerning the self-administered hormonal
		  contraceptive and possible alternatives to the self-administered hormonal
		  contraceptive;
(2) Assessing any
		  risks to the patient posed by the self-administered hormonal
		  contraceptive;
(3) Evaluating the
		  patient using the criteria adopted by reference in section 3;
(4) Conducting a health and history screening
		  of the patient;
(5) Screening to
		  determine whether the patient is or may be pregnant;
(6) Screening the patient for
		  disease;
(7) Determining whether
		  the patient is taking other medications and, if so, evaluating the potential
		  interaction between the self-administered hormonal contraceptive and the other
		  medications;
(8) Evaluating the
		  blood pressure of the patient;
(9)
		  Soliciting and considering the preferences of the patient concerning treatment;
		  and
(10) Formulating a plan for
		  treatment of the patient and discussing the plan with the patient.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 4.3 - NEW

Current through June 11, 2024
1. Notwithstanding the provisions of section
		  1, a person or public or private facility who is operating or providing the
		  services of a facility for treatment with narcotics on the effective date may
		  continue to operate or provide the services of such a facility without
		  obtaining a license to administer opioid agonist treatment medication pursuant
		  to section 1 until 6 months after the effective date.
2. As used in this section:
(a) "Facility for treatment with narcotics"
		  has the meaning ascribed to it in NAC
		  449.1542.
(b) "Opioid agonist treatment medication" has
		  the meaning ascribed to it in
		  42 C.F.R. §
									8.2.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 4.4 - NEW

Current through June 11, 2024
1. A pharmacist who offers
		  medication-assisted treatment to a patient pursuant to section
		  12.3 of Assembly Bill No. 156,
		  chapter 398, Statutes of Nevada 2023, at page 2367, shall establish a
		  documented treatment plan tailored to the needs of the patient. The documented
		  treatment plan must include, without limitation:
(a) A procedure for evaluating the progress
		  or success of the treatment with stated objectives, including, without
		  limitation, improved physical or psychosocial function; and
(b) Consideration of pertinent medical
		  history, previous medical records and physical examinations and the need for
		  further testing, consultations, referrals or the use of other treatment
		  modalities.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 4.5 - NEW

Current through June 11, 2024
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 days after the change
			 occurs.
Added
			 to NAC by Bd. of Pharmacy by
			 R051-24A,
			 eff. 6/10/2024
NRS
				453.221,
				639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 5.2 - NEW

Current through June 11, 2024
A pharmacist providing medication-assisted treatment to a patient
			 pursuant to section
			 12.3 of Assembly Bill No. 156,
			 chapter 398, Statutes of Nevada 2023, at page 2367, shall document and conduct
			 periodic reviews of the care of the patient. The periodic reviews must be
			 conducted at reasonable intervals in consideration of the individual
			 circumstances of the patient and include, without limitation:
1. Consideration of the individual
		  circumstances of the patient;
2.
		  Any progress in reaching the objectives of the treatment; and
3. Consideration of the treatment prescribed,
		  ordered or administered, as well as any new information about the etiology of
		  the opioid use disorder of the patient.
Added
			 to NAC by Bd. of Pharmacy by
			 R059-23A,
			 eff. 1/5/2024
NRS
				453.221,
				639.070, section
				12.3 of Assembly Bill No. 156,
				chapter 398, Statutes of Nevada 2023, at page
				2367
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 5.3 - NEW

Current through June 11, 2024
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 registration if the certified registered nurse
			 anesthetist:
1. Is not of good moral
		  character;
2. Is guilty of habitual
		  intemperance;
3. Becomes or is
		  under the influence of liquor, any depressant drug or a controlled substance
		  while on duty, unless the drug or substance has been taken pursuant to a
		  practitioner's prescription;
4. Is
		  guilty of unprofessional conduct or conduct contrary to the public
		  interest;
5. Is addicted to the use
		  of any controlled substance;
6. Has
		  been convicted of a violation of any federal law or law of this or any other
		  state relating to controlled substances;
7. Has been convicted of a felony or other
		  crime involving moral turpitude, dishonesty or corruption;
8. Has willfully made to the Board or its
		  authorized representative any false written statement which is material to the
		  administration or enforcement of any provision of chapter 453, 454 or 639 of
		  NRS;
9. Has obtained a certificate
		  of registration by filing any application, record or affidavit or any
		  information in support thereof, which is false or fraudulent;
10. Has violated any provision of the Federal
		  Food, Drug, and Cosmetic Act or any other state or federal law or regulation
		  relating to prescription drugs;
11.
		  Has failed to renew his or her certificate of registration by failing to pay
		  the renewal fee;
12. Has failed to
		  maintain the security of his or her drug supply;
13. Has supplied patients with prescriptions
		  that are presigned in blank;
14.
		  Has violated section 2.6 of Senate Bill No. 336, chapter 229, Statutes of
		  Nevada 2023, at page 1444 (NRS 632.2397), any provision of chapter 453, 454,
		  585 or 639 of NRS or any regulation pertaining to the practice of pharmacy,
		  controlled substances, dangerous drugs or devices; or
15. Has had his or her license as a
		  registered nurse or certificate of registration as a certified registered nurse
		  anesthetist issued pursuant to chapter 632 of NRS suspended or
		  revoked.
Added
			 to NAC by Bd. of Pharmacy by
			 R051-24A,
			 eff. 6/10/2024
NRS
				453.221,
				639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › Section 639.Sec. 6.2 - NEW

Current through June 11, 2024
A pharmacist shall:
1.
		  Maintain complete and accurate records of the medication-assisted treatment
		  provided to a patient pursuant to section
		  12.3 of Assembly Bill No. 156,
		  chapter 398, Statutes of Nevada 2023, at page 2367, including, without
		  limitation, any records required pursuant to chapter 639 of NRS and the
		  regulations adopted pursuant thereto.
2. Make all records maintained pursuant to
		  subsection 1 available for review upon request of the Board. The Board will
		  conduct any review of such records in accordance with the laws relating to the
		  confidentiality of medical records.
Added
			 to NAC by Bd. of Pharmacy by
			 R059-23A,
			 eff. 1/5/2024
NRS
				453.221,
				639.070, section
				12.3 of Assembly Bill No. 156,
				chapter 398, Statutes of Nevada 2023, at page
				2367
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › GENERAL PROVISIONS › Section 639.010 - Definitions

Current through June 11, 2024
As used in this chapter, unless the context otherwise
				requires:
1. "Automated drug
			 dispensing system" means a system that performs operations, other than
			 compounding or administration, related to the storage and dispensing of
			 drugs.
2. "Board" means the State
			 Board of Pharmacy.
3. "Controlled
			 substance" has the meaning ascribed to it in
			 NRS
			 0.031.
4. "Dangerous drug" has the meaning ascribed
			 to it in NRS
			 454.201.
5. "Direct supervision" means the direction
			 given by a supervising pharmacist or dispensing practitioner who is:
(a) On the premises of the pharmacy or
			 telepharmacy at all times when the person he or she is supervising is working
			 at the pharmacy or telepharmacy or at a remote site or satellite consultation
			 site; and
(b) Aware of the
			 activities of that person related to the preparation and dispensing of
			 medications, including the maintenance of appropriate
			 records.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › GENERAL PROVISIONS › Section 639.020 - "Consumer" interpreted

Current through June 11, 2024
As used in
				NRS
				639.016, the Board interprets the term
				"consumer" to include, without limitation, a person or governmental entity to
				which an opioid antagonist is furnished pursuant to section 9 of Senate Bill
				No. 459, chapter 26, Statutes of Nevada 2015, at page 112 (NRS 453C.120 ). As
				used in this section, "opioid antagonist" has the meaning ascribed to it in
				section 5 of Senate Bill No. 459, chapter 26, Statutes of Nevada 2015, at page
				111 (NRS 453C.040 ).
Added to NAC
				by Bd. of Pharmacy by
				R121-15,
				eff. 9/9/2016
NRS
				  639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › GENERAL PROVISIONS › Section 639.030 - "Date" interpreted

Current through June 11, 2024
The Board interprets the term "date" as used in subsection 1 of
				NRS
				639.2801 to mean the most recent date on
				which the drug was dispensed or the prescription was refilled.
Added to NAC by Bd. of
				Pharmacy, eff. 6-16-86
NRS
				  639.070,
				  639.2801
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › GENERAL PROVISIONS › Section 639.032 - "Facsimile machine" interpreted

Current through June 11, 2024
As used in
				NRS
				639.0745 and
				639.2353,
				the Board will interpret the term "facsimile machine" to include, without
				limitation, a computer that has a facsimile modem through which documents can
				be sent and received.
Added to NAC by Bd. of
				Pharmacy by R112-99, eff. 11-3-99
NRS
				  639.070,
				  639.0745,
				  639.2353
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › GENERAL PROVISIONS › Section 639.040 - "File" interpreted

Current through June 11, 2024
The Board interprets the term "file" as used in subsection 1 of
				NRS
				639.2392 to mean a file for:
1. Paper records; or
2. Records maintained in a computer
			 system.
Added to NAC by Bd. of
				Pharmacy by R050-07, eff. 12-17-2008
NRS
				  639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › GENERAL PROVISIONS › Section 639.050 - Storage and destruction of certain controlled substances

Current through June 11, 2024
1. Upon the discontinuance of a controlled
			 substance, a controlled substance becoming outdated or the demise of a patient
			 at a facility for skilled nursing or facility for intermediate care which is
			 licensed by the Division of Public and Behavioral Health of the Department of
			 Health and Human Services, any remaining controlled substance dispensed to the
			 patient must be placed in a secured locked compartment. The controlled
			 substance must be secured in the locked container until destroyed in the manner
			 prescribed in NAC 639.498.
2. Each
			 practitioner or pharmacy shall physically separate each controlled substance
			 which is outdated, damaged, deteriorated, misbranded or adulterated from the
			 balance of its stock medications. The practitioner or pharmacy shall destroy
			 such controlled substances at least once each year. The practitioner or
			 pharmacy shall complete Form DEA-41 of the Drug Enforcement Administration,
			 "Registrants Inventory of Drugs Surrendered," to acknowledge the destruction of
			 the controlled substances.
3. Any
			 entity that is authorized pursuant to federal law to collect controlled
			 substances and conducts a mail-back program to collect controlled substances or
			 maintains collection receptacles for controlled substances shall provide to the
			 Board:
(a) Written notification that the
			 entity has registered with the Drug Enforcement Administration to obtain
			 authorization to be a collector; and
(b) A copy of each Form DEA-41 submitted to
			 the Drug Enforcement Administration.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › GENERAL PROVISIONS › Section 639.060 - Marketing codes of conduct: Adoption of certain codes by reference

Current through June 11, 2024
The Board hereby adopts by reference:
1. The
Code on Interactions with
			 Healthcare Professionals
developed by the Pharmaceutical Research and
			 Manufacturers of America. A copy of this publication may be obtained, free of
			 charge, from the Pharmaceutical Research and Manufacturers of America at the
			 Internet address
http://www.phrma.org/code_on_interactions_with_healthcare_professionals
.
2. The
Code of Ethics on Interactions
			 with Health Care Professionals
adopted by the Advanced Medical
			 Technology Association. A copy of this publication may be obtained, free of
			 charge, from the Advanced Medical Technology Association at the Internet
			 address
http://www.advamed.org/MemberPortal/About/code
.
Added to NAC by Bd. of
				Pharmacy by R122-07, eff. 1-30-2008
NRS
				  639.070,
				  639.570
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › GENERAL PROVISIONS › Section 639.065 - Marketing codes of conduct: Periodic review of adopted codes

Current through June 11, 2024
The Board will periodically review:
1. The
Code on Interactions with
			 Healthcare Professionals
, as adopted by reference in subsection 1 of
			 NAC 639.060; and
2. The
Code of Ethics on Interactions with Health Care Professionals
,
			 as adopted by reference in subsection 2 of NAC 639.060,
and determine, within 30 days after the review, whether any
				change made to a publication listed in subsection 1 or 2 is appropriate for
				application in this State. If the Board does not disapprove a change to an
				adopted publication within 30 days after the review, the change is deemed to be
				approved by the Board.
Added to NAC by Bd. of
				Pharmacy by R122-07, eff. 1-30-2008
NRS
				  639.070,
				  639.570