NAC639.745. Duties of certain practitioners concerning dispensing of controlled substances and dangerous drugs.

     1. Each practitioner who is registered with the Board to dispense controlled substances and dangerous drugs, including, without limitation, a dispensing practitioner, and who dispenses such products for use by the practitioner’s patients outside his or her presence shall:

     (a) Keep complete, accurate and readily retrievable records of each controlled substance and dangerous drug purchased and dispensed. The record for each such product dispensed to a patient must include:

          (1) The name of the patient and, if not readily available from the practitioner’s records, the patient’s address;

          (2) The name, strength and quantity of the prescribed controlled substance or dangerous drug;

          (3) The directions for use;

          (4) The date the prescription was issued; and

          (5) A unique identifying number.

     (b) Maintain a separate file for the records concerning the purchase of each controlled substance listed in schedule II and a separate file for the records concerning the dispensing of each controlled substance listed in schedule II. Each prescription for a controlled substance or dangerous drug must be maintained in a separate file pursuant to the requirements set forth in NAC 453.480.

     (c) Keep all controlled substances and dangerous drugs in a locked storage area. Access to the storage area must be restricted to the persons described in NRS 453.375.

     (d) Ensure that each package or container in which a controlled substance is dispensed, except samples in the manufacturer’s packages, is clearly labeled pursuant to the requirements set forth in NRS 639.2801.

     (e) Ensure that the package or container in which a controlled substance or dangerous drug is dispensed complies with all state and federal packaging requirements.

     (f) Be deemed to be a pharmacy as that term is used in NAC 639.926 and shall comply with that section.

     2. A practitioner may dispense dangerous drugs or controlled substances only after the patient has been informed by the practitioner that the patient may request a written prescription and have it filled at another location of the patient’s choosing.

     3. A record regarding the dispensing of a controlled substance or dangerous drug made and kept pursuant to this section must be maintained on paper or in a computer. If the record is:

     (a) Maintained on paper, the record must:

          (1) Include all the information required to be on the prescription pursuant to NRS 639.2353 and NAC 453.440;

          (2) Set forth on the front of the prescription a certification initialed and dated by the patient that the patient has been informed by the practitioner in accordance with subsection 2 and that the patient has agreed to have the practitioner dispense the controlled substance or dangerous drug; and

          (3) Be serially numbered and kept in numerical order in a single file for all dispensing practitioners, including, without limitation, physician assistants and advanced practitioners of nursing, practicing at the same location.

     (b) Maintained in a computer, the record must:

          (1) Include all the information required to be on the prescription pursuant to NRS 639.2353 and NAC 453.440;

          (2) Contain a certification, either in the computer or a separate paper document, initialed and dated by the patient that the patient has been informed by the practitioner in accordance with subsection 2 and that the patient has agreed to have the practitioner dispense the controlled substance or dangerous drug; and

          (3) Be searchable for any item required by paragraph (a) of subsection 1 to be included in the record.

     (Added to NAC by Bd. of Pharmacy, eff. 2-6-90; A by R034-02, 5-30-2003; R157-04, 10-22-2004; R037-10, 10-15-2010)