reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › CANADIAN PHARMACIES › Section 639.434 - Standards of practice

Current through June 11, 2024
1. A Canadian
			 pharmacy licensed to provide mail order service pursuant to
			 NRS
			 639.2328 shall:
(a) Maintain a toll-free telephone number and
			 an electronic mail address at which a patient may contact and communicate with
			 a pharmacist employed by the pharmacy;
(b) Ensure that a pharmacist employed by the
			 pharmacy contacts a patient's prescribing practitioner in the United States
			 regarding a prescription for the patient:
(1)
			 If the prescription was electronically transmitted to the pharmacy in any
			 manner other than directly from the office of the prescribing practitioner in
			 the United States, to verify the authenticity and contents of the prescription;
			 and
(2) Before making any change to
			 the prescription that deviates from the prescription as written by the
			 prescribing practitioner in the United States;
(c) Ensure that, before a prescription from a
			 prescribing practitioner in the United States is transmitted to a prescribing
			 practitioner in Canada for approval, a pharmacist employed by the pharmacy:
(1) Personally enters the data regarding the
			 prescription into the pharmacy's computer system; or
(2) Verifies that the data regarding the
			 prescription was entered correctly into the pharmacy's computer system by
			 another employee of the pharmacy; and
(d) Ensure that the pharmacists employed by
			 the pharmacy make and maintain a record, either on paper or in the pharmacy's
			 computer system, that readily identifies the pharmacist who, with respect to a
			 prescription:
(1) Entered or verified the data
			 regarding the prescription pursuant to paragraph (c); and
(2) Filled the prescription or verified the
			 correctness of the prescription, if the prescription was filled by an employee
			 other than a pharmacist.
The records required pursuant to this paragraph must be
				maintained by the pharmacy for at least 2 years and be made available, upon
				request, for inspection by the staff of the Board.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › CANADIAN PHARMACIES › Section 639.436 - Dissemination of certain contact information; printing of certain information on label of prescription

Current through June 11, 2024
1. In addition to
			 complying with the requirements of
			 NRS
			 639.23286 and NAC 639.708, a Canadian
			 pharmacy licensed to provide mail order service pursuant to
			 NRS
			 639.2328 shall ensure that each of the
			 following is published on the Internet website, if any, of the pharmacy and
			 printed upon any written materials provided by the pharmacy to a patient:
(a) The normal business hours of the
			 pharmacy;
(b) The toll-free
			 telephone number of the pharmacy; and
(c) The electronic mail address of the
			 pharmacy.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.440 - Definitions

Current through June 11, 2024
As used in NAC 639.440 to 639.490, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC 639.441 to
				  639.460, inclusive, have the meanings ascribed to them in those
				  sections.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.441 - "Administer" defined

Current through June 11, 2024
"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
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.442 - "Chart order" defined

Current through June 11, 2024
"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 emergency treatment in a hospital by a practitioner or
				  on the written or oral order of a practitioner authorizing the administration
				  of a drug to the patient.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.445 - "Compound" and "compounding" defined

Current through June 11, 2024
"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
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.446 - "Consultant pharmacist" defined

Current through June 11, 2024
"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 by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.4465 - "Correctional institution" defined

Current through June 11, 2024
"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 term
				  includes a jail.
Added to NAC by Bd. of
				  Pharmacy, eff. 9-12-91
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.447 - "Deliver" and "delivery" defined

Current through June 11, 2024
"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. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.448 - "Device" defined

Current through June 11, 2024
"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 the structure of
				any function of the body of a person or an animal.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.449 - "Direct copy" defined

Current through June 11, 2024
"Direct copy" includes an electronic or carbonized
				  copy.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.450 - "Dispense" defined

Current through June 11, 2024
"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 substance or dangerous drug by a pharmacy in a medical facility
				  to an inpatient of the medical facility in which the pharmacy is
				  located.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.451 - "Distribute" defined

Current through June 11, 2024
"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
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.452 - "Floor stock" defined

Current through June 11, 2024
"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 administering to a patient of the facility or institution.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.453 - "Formulary" defined

Current through June 11, 2024
"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 to NAC by Bd. of
				  Pharmacy, eff. 3-27-90
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.455 - "Investigational drug" defined

Current through June 11, 2024
"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
				  Pharmacy, eff. 3-27-90
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.456 - "IV admixture" defined

Current through June 11, 2024
"IV admixture" means the compounding of parenteral solutions
				  by aseptic procedures.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.457 - "Medical facility" defined

Current through June 11, 2024
"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 intermediate
				care;
6. A facility for skilled
				nursing;
7. A hospice;
8. A hospital;
9. A psychiatric hospital;
10. A facility for the treatment of
				irreversible renal disease;
11. A
				rural clinic; and
12. A recovery
				center.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A by
				  R085-20A,
				  eff. 2/25/2021
NRS
				  639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.4575 - "Pharmacy" defined

Current through June 11, 2024
"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 ultimate user.
Added to NAC by Bd. of
				  Pharmacy, eff. 9-12-91
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.458 - "Prescription" defined

Current through June 11, 2024
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
				practitioner.
(b) A chart order
				written for an inpatient specifying drugs that the inpatient is to take home
				upon his or her discharge.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.459 - "Unit dose" defined

Current through June 11, 2024
"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
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.460 - "Unit of use" defined

Current through June 11, 2024
"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. 3-27-90
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.461 - Licensing

Current through June 11, 2024
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 Bureau of Regulatory Health Services of
				the Division of Public and Behavioral Health of the Department of Health and
				Human Services. A hospital may apply for more than one license to conduct an
				institutional pharmacy at a location.
2. Retail, nuclear and other pharmaceutical
				functions may be performed within a hospital under the license to conduct a
				pharmacy. If a hospital is required to obtain only one license from the Bureau
				of Regulatory Health Services of the Division of Public and Behavioral Health
				of the Department of Health and Human Services for a pharmacy, the pharmacy may
				serve inpatients in an institutional satellite operation without obtaining a
				separate license to conduct such a pharmacy. A pharmacy which serves
				outpatients in an institutional satellite operation is required to obtain a
				separate license to conduct such a pharmacy.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-11-91; 9-12-91
NRS
					 639.070,
					 639.071
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.462 - Biennial registration

Current through June 11, 2024
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 be included.
2. For a pharmacy in a medical facility, the
				registration form must be signed by:
(a) The
				managing pharmacist of the pharmacy; and
(b) The chief executive officer of the
				hospital in which the pharmacy is located.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › General Provisions › Section 639.463 - Change of ownership

Current through June 11, 2024
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 Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.170
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.464 - Scope of services in hospital or correctional institution

Current through June 11, 2024
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 medical staff, managing pharmacist and other health care
				professionals involved in delivering or administering drugs in the hospital or
				correctional institution in which the pharmacy is located.
2. Pharmaceutical services may include, but
				are not limited to:
(a) Interpreting orders
				for prescriptions and medication.
(b) Compounding, dispensing, distributing,
				labeling and administering drugs and devices.
(c) Monitoring drug therapy.
(d) Therapeutic interchange.
(e) Participating in evaluations of the uses
				of drugs and the selection of drug products.
(f) Ensuring the proper and safe storage and
				distribution of drugs and devices, and the maintenance of proper records
				related thereto.
(g) Providing
				information related to drugs, including, but not limited to, the proper
				dosages, hazards and the optimal use of drugs and devices.
(h) Supervising pharmaceutical technicians
				and pharmaceutical technicians in training.
(i) Conducting research.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.4645 - Maintenance of registration certificates required

Current through June 11, 2024
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 pharmacists, intern
				  pharmacists and pharmaceutical technicians together in one location within the
				  pharmacy. The certificates must be readily available for review upon the
				  request of the Board.
Added to NAC by Bd. of
				  Pharmacy, eff. 10-17-91
NRS
					 639.070,
					 639.071
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.465 - Managing pharmacist

Current through June 11, 2024
1. A pharmacy
				located in a:
(a) Hospital with 100 beds or
				more; or
(b) Correctional
				institution housing 1,500 inmates or more,
must have one full-time managing pharmacist. That pharmacist
				  may be a managing pharmacist for only one such pharmacy.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.466 - Consultant pharmacist

Current through June 11, 2024
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 written employment contract. The contract must be made
				available to the Board upon request.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.467 - Staff pharmacists

Current through June 11, 2024
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 the hospital or correctional
				institution in which the pharmacy is located.
2. Staff pharmacists shall assist the
				managing pharmacist in carrying out the duties enumerated in NAC
				639.468.
3. A staff pharmacist is
				responsible for any delegated act performed by pharmaceutical technicians under
				his or her supervision.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.468 - Establishment of policies, procedures and systems

Current through June 11, 2024
The managing pharmacist of a pharmacy shall establish
				  policies, procedures and systems related to the following matters, without
				  limitation:
1. Preparation of
				parenteral medications compounded within the pharmacy.
2. Supervision of the admixture of parenteral
				products and training of personnel in incompatible admixtures if they are not
				performed within the pharmacy.
3.
				Supervision of the bulk compounding of drugs.
4. Procurement and storage of all materials
				in the pharmacy, including drugs, chemicals and biologicals.
5. Participation in the development of a
				formulary for the medical facility or correctional institution in which the
				pharmacy is located, subject to the approval of the appropriate committee at
				the facility or institution.
6.
				Distribution of drugs to be administered to patients, pursuant to an original
				or a direct copy of a practitioner's order for medication.
7. Filling and labeling of all containers
				from which drugs are to be distributed or dispensed.
8. Maintenance and availability in the
				pharmacy, and in areas where care is provided to inpatients, of:
(a) A sufficient inventory of emergency
				drugs;
(b) The telephone numbers of
				poison control centers and other organizations for emergency assistance;
				and
(c) Such other materials and
				information as are considered necessary by the appropriate committee.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.4685 - Handling of medications in correctional institutions without pharmacies

Current through June 11, 2024
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 responsible
				practitioner or authority shall develop written plans, establish procedures and
				provide space and accessories for the secure storage, control, administration
				and disposal of all such drugs in consultation with a pharmacist and the
				manager of the facility. Such plans, procedures, space or accessories must
				include:
(a) Cabinets, closets and
				refrigeration units that are lockable.
(b) Procedures for administration or delivery
				of medicines to inmates as prescribed.
(c) Procedures for confirming the fact that
				the inmate has ingested the medication.
(d) A procedure for recording the fact that
				prescribed medications have or have not been administered, by whom the
				medication was administered and, if the medication was not administered, the
				reason it was not administered.
(e)
				A policy prohibiting the administration, distribution, delivery or dispensing
				of drugs by inmates.
(f) A policy
				limiting the length of time medications may be administered without further
				medical evaluation.
(g) A
				requirement that the pharmacist prepare, at least annually, a written report on
				the status of services by the pharmacy in the institution which must be
				delivered to the responsible practitioner or authority and the manager of the
				facility.
(h) Procedures describing
				the circumstances and methods for contacting the pharmacist.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.469 - Standards for premises

Current through June 11, 2024
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 arranged in an orderly manner. All required equipment must be
				clean and in good operating condition.
3. A sink with hot and cold running water
				must be available to all personnel of the pharmacy and must be maintained in a
				sanitary condition at all times.
4.
				The pharmacy must be well lighted and ventilated.
5. The temperature of the pharmacy must be
				maintained within a range compatible with the proper storage of drugs. The
				temperature of the refrigerator must be maintained within the range set forth
				in subsection 1 of NAC 639.527.
6.
				The pharmacy must have a locked storage area for controlled substances listed
				in schedule II and other controlled substances requiring additional
				security.
7. Flammable materials
				must be stored in a designated area. The area must meet the requirements of
				local and state fire laws.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91; R128-10,
				  12-16-2010
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.470 - Security of premises

Current through June 11, 2024
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 provide adequate safeguards against the theft or
				diversion of controlled substances and dangerous drugs and the records of those
				drugs.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.472 - Maintenance of reference library

Current through June 11, 2024
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 controlled
				substances; and
(b) The Federal
				Controlled Substances Act (Title II of Pub. L. 91-513, Oct. 27, 1970, 84 Stat.
				1242) and the regulations adopted pursuant thereto or an official publication
				describing the requirements of that act and the regulations adopted pursuant
				thereto.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.473 - Procurement and storage of drugs

Current through June 11, 2024
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 medical facility or correctional
				institution in which the pharmacy is located.
2. A drug may not be dispensed or distributed
				after the expiration date of the drug.
3. Outdated drugs must be removed from stock
				and identified and maintained separately from other stock until
				disposal.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.474 - Development and use of formulary

Current through June 11, 2024
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
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.475 - Preparation and labeling of admixtures

Current through June 11, 2024
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 container
				of any admixture. The label must include, but is not limited to:
(a) The name of the patient for whom the
				admixture was prepared and the facility's or institution's identification of
				that patient;
(b) The name and
				amount of the drugs added;
(c) The
				name of the basic solution;
(d) The
				name, initials or identifying code of the pharmacist who prepared or verified
				the admixture; and
(e) The
				expiration date of the solution.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.476 - Prepackaging of drugs

Current through June 11, 2024
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 a prepackaged unit must include:
(a)
				The generic or trade name of the drug, its strength and the dosage
				form;
(b) The lot number;
(c) The expiration date of the drug;
				and
(d) The quantity of the drug if
				the unit dose does not equal the unit of use.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.477 - Policies and procedures for distribution of drugs

Current through June 11, 2024
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 standards for accreditation of the American Correctional
				Association and the National Commission of Correctional Health Care must be
				used as a guideline for these policies and procedures by a correctional
				institution. The standards for accreditation of the American Correctional
				Association may be obtained by writing to the American Correctional
				Association, Publishing and Periodicals Division, 206 North Washington Street,
				Suite 200, Alexandria, Virginia 22314, or by calling (800) 222-5646 ext. 0129.
				The standards of accreditation of the National Commission of Correctional
				Health Care may be obtained by writing to the National Commission of
				Correctional Health Care, 1145 West Diversey Parkway, Chicago, Illinois
				60614.
2. The written policies and
				procedures must include procedures regarding:
(a) Controlled substances.
(b) Investigational drugs.
(c) Prepackaging and manufacturing.
(d) Stop orders.
(e) Orders for medication.
(f) Physicians' orders.
(g) Floor stocks.
(h) Reports of adverse reactions.
(i) Drugs brought into the facility by
				patients.
(j) Medications for
				furloughs.
(k) The
				self-administration of drugs.
(l)
				Emergency supplies of drugs.
(m) A
				formulary.
(n) Monthly inspections
				of nursing stations and storage areas for drugs.
(o) Samples of drugs.
(p) Reports of defects in drug
				products.
(q) The recall of
				drugs.
(r) Outdated
				drugs.
(s) The routine distribution
				of medication for inpatients.
(t)
				The preparation and distribution of IV admixtures.
(u) The handling of orders for medication if
				a pharmacist is not on duty.
(v)
				Requests for drugs that are not listed on the formulary.
(w) Administering medication.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.478 - Limitations on distribution of drugs

Current through June 11, 2024
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
				facility or correctional institution only from the original or a direct copy of
				the practitioner's order for medication.
3. A controlled substance listed in schedule
				II may be distributed to outpatients only pursuant to a written
				prescription.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.479 - Withdrawal of drugs when full-time pharmacist is absent

Current through June 11, 2024
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 facility or institution while the pharmacy
				  is closed:
1. Prescription drugs and
				devices may be removed from the pharmacy only in sufficient quantities for
				immediate therapeutic needs.
2.
				Only a designated licensed nurse or practitioner may remove those drugs and
				devices.
3. The person authorized
				to make the withdrawal shall make a record at the time of the withdrawal
				containing:
(a) The name of the
				patient;
(b) The name of the device
				or drug withdrawn;
(c) If a drug is
				withdrawn, its strength and the dosage form;
(d) The dose prescribed;
(e) The quantity taken;
(f) The time and date of the withdrawal;
				and
(g) The signature of the person
				making the withdrawal.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.480 - Withdrawal of drugs when part-time or consultant pharmacist is absent

Current through June 11, 2024
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 patient of the facility or institution while the
				  pharmacist is not on duty or the pharmacy is closed:
1. Controlled substances, dangerous drugs and
				devices may be removed from the pharmacy only in sufficient quantities for
				therapeutic needs.
2. Only a
				designated licensed nurse or practitioner may remove those drugs and
				devices.
3. The person authorized
				to remove the drugs and devices shall make a record at the time of the
				withdrawal containing:
(a) The name of the
				patient;
(b) The name of the device
				or drug withdrawn;
(c) If a drug is
				withdrawn, its strength and the dosage form;
(d) The dose prescribed;
(e) The quantity taken;
(f) The time and date of the withdrawal;
				and
(g) The signature of the person
				making the withdrawal.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Standards of Operation › Section 639.481 - Withdrawal of drugs when facility uses floor stock and pharmacy is closed

Current through June 11, 2024
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, dangerous drugs and
				devices may be removed from the pharmacy only in the original manufacturer's
				container or prepackaged container.
2. Only a designated licensed nurse or
				practitioner may remove those drugs and devices.
3. The person authorized to make the
				withdrawal shall make a record at the time of the withdrawal containing:
(a) The name of the device or drug
				withdrawn;
(b) If a drug is
				withdrawn, its strength and the dosage form;
(c) The quantity removed;
(d) The location of the floor
				stock;
(e) The date and the time of
				the withdrawal; and
(f) The
				signature of the person making the withdrawal.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Records › Section 639.482 - Maintenance and availability of records

Current through June 11, 2024
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 must be
				made available for inspection and copying upon the request of the Board, its
				representatives, or another authorized local, state or federal law enforcement
				agency.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Records › Section 639.483 - Statutes applicable to maintenance of records

Current through June 11, 2024
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; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Records › Section 639.484 - Contents and maintenance of chart orders

Current through June 11, 2024
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 and the route of administration;
(c) Directions for the use of the
				drug;
(d) The date; and
(e) The practitioner's signature. Any verbal
				order signed by a practitioner's agent must be cosigned by the
				practitioner.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Records › Section 639.485 - Maintenance of records for controlled substances

Current through June 11, 2024
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 controlled
				substances handled by the pharmacy.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Records › Section 639.486 - Maintenance of records of controlled substances administered from floor stock

Current through June 11, 2024
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 the
				controlled substance was administered.
(b) The name of the controlled substance, its
				dosage form and strength.
(c) The
				time and date on which the controlled substance was administered to the
				patient.
(d) The quantity of the
				controlled substance administered.
(e) The signature of the person removing the
				controlled substance.
(f)
				Controlled substances returned to the pharmacy.
(g) A record of any waste of a controlled
				substance which, except as otherwise provided in subsection 2, must be
				witnessed and cosigned by another person who is licensed to provide medical
				care.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Records › Section 639.487 - Maintenance of additional records

Current through June 11, 2024
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, initialed and filed,
				copies of each unaccepted or defective order form, and any attached statements
				or other documents.
2. Suppliers'
				invoices of controlled substances and dangerous drugs. The pharmacist or other
				personnel of the pharmacy shall clearly record on each invoice the actual date
				on which the controlled substance or dangerous drug was received.
3. Suppliers' credit memos for controlled
				substances and dangerous drugs.
4.
				The biennial inventory of controlled substances required by the Drug
				Enforcement Administration.
5. Any
				reports of theft or significant loss of controlled substances submitted to the
				Drug Enforcement Administration.
6.
				Reports of the surrender or destruction of controlled substances or dangerous
				drugs, or both, to an appropriate state or federal agency.
7. A register book for nonprescription drugs
				listed in schedule V.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Records › Section 639.488 - Maintenance of records for distribution of controlled substances to another pharmacy or practitioner

Current through June 11, 2024
1. If a pharmacy
				distributes controlled substances listed in schedule III, IV or V to another
				pharmacy or a practitioner, it shall maintain invoices showing:
(a) The actual date of
				distribution;
(b) The name,
				strength and quantity of controlled substances distributed;
(c) The distributing pharmacy's name, address
				and registration number given to it by the Drug Enforcement Administration;
				and
(d) The name, address and
				registration number of the pharmacy or practitioner to whom the controlled
				substances were distributed.
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Records › Section 639.489 - Separation of certain records

Current through June 11, 2024
1. Except for
				records of distributions from floor stock, records of controlled substances
				listed in schedules I and II must be maintained separately from other records
				maintained by a pharmacy.
2.
				Records of controlled substances listed in schedules III, IV and V may be
				maintained either separately from all other records maintained by the pharmacy
				or in such form that the records are readily retrievable.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Records › Section 639.490 - Permission to use centralized system for keeping records

Current through June 11, 2024
A pharmacy wishing to use a centralized system for keeping
				  records must submit written notification to the Regional Director of the Drug
				  Enforcement Administration by registered or certified mail. A copy of the
				  notification must be submitted to the Board. Unless the pharmacy is informed by
				  the Regional Director that permission to keep central records is denied, the
				  pharmacy may begin to maintain such records 14 days after receipt of the
				  notification by the Regional Director. A copy of the notification must be
				  maintained by the pharmacy.
Added to NAC by Bd. of
				  Pharmacy, eff. 3-27-90; A 9-12-91
NRS
					 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Chart Order Processing Services › Section 639.491 - Definitions

Current through June 11, 2024
As used in NAC
				  639.491 to
				  639.4916, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC
				  639.4911 to
				  639.4914, inclusive, have the
				  meanings ascribed to them in those sections.
Added to NAC by Bd. of
				  Pharmacy by R015-05, eff. 10-31-2005; A by R098-07, 12-4-2007; A by
				  R164-20A,
				  eff. 12/29/2022
NRS 639.070,
					 639.071,
					 639.072
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Chart Order Processing Services › Section 639.4911 - "Chart order" defined

Current through June 11, 2024
"Chart order" has the meaning ascribed to it in NAC
				  639.442.
Added to NAC by Bd. of
				  Pharmacy by R015-05, eff. 10-31-2005
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Chart Order Processing Services › Section 639.49115 - "Chart order processing services" defined

Current through June 11, 2024
"Chart order processing services" means nondispensary
				  pharmaceutical services that are provided by a pharmacy to a hospital or
				  correctional institution, including, without limitation:
1. Receiving, interpreting and clarifying a
				chart order received from a hospital or correctional institution;
2. Entering information regarding a chart
				order into the computerized data system of a hospital or correctional
				institution;
3. Interpreting
				clinical data regarding a patient of a hospital or correctional
				institution;
4. Performing
				therapeutic interventions regarding a patient of a hospital or correctional
				institution;
5. Providing
				information to the appropriate staff of a hospital or correctional institution
				regarding a chart order submitted by the hospital or correctional institution;
				and
6. Providing information
				regarding the treatment of a patient of a hospital or correctional
				institution.
Added to NAC by Bd. of
				  Pharmacy by R098-07, eff. 12-4-2007
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Chart Order Processing Services › Section 639.4912 - "Correctional institution" defined

Current through June 11, 2024
"Correctional institution" has the meaning ascribed to it in
				  NAC 639.4465.
Added to NAC by Bd. of
				  Pharmacy by R015-05, eff. 10-31-2005
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Chart Order Processing Services › Section 639.4913 - "Off-site pharmaceutical service provider" defined (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				  Pharmacy by R015-05, eff. 10-31-2005; R by
				  R164-20A,
				  eff. 12/29/2022
NRS 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Chart Order Processing Services › Section 639.4914 - "Remote chart order processing services" defined

Current through June 11, 2024
"Remote chart order processing services" means chart order
				  processing services provided by an off-site pharmaceutical service provider to
				  a hospital or correctional institution, including, without limitation,
				  transferring information regarding a chart order from the off-site
				  pharmaceutical service provider to members of the staff of the hospital or
				  correctional institution that submitted the chart order.
Added to NAC by Bd. of
				  Pharmacy by R015-05, eff. 10-31-2005; A by R098-07,
				  12-4-2007
NRS
					 639.070
Nevada Administrative Code › Chapter 639 - Pharmacists and Pharmacy › MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS › Chart Order Processing Services › Section 639.4915 - Provision of services by pharmacies within certain hospitals and correctional institutions

Current through June 11, 2024
A pharmacy located within a hospital or correctional
				  institution that is required to have a full-time managing pharmacist pursuant
				  to NAC 639.465 shall provide chart order
				  processing services to the hospital or correctional institution at all
				  times.
Added to NAC by Bd. of
				  Pharmacy by R015-05, eff. 10-31-2005; A by R098-07, 12-4-2007; A by
				  R164-20A,
				  eff. 12/29/2022
NRS 639.070,
					 639.071,
					 639.072