NAC639.434. Standards of practice.

     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.

Ê 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.

     2. A Canadian pharmacy licensed to provide mail order service pursuant to NRS 639.2328 shall not direct or otherwise allow a patient to have his or her prescription dispensed by or to otherwise use the services of a pharmacy that is not licensed by the Board.

     3. If a Canadian pharmacy licensed to provide mail order service pursuant to NRS 639.2328 does not have in stock a drug with which to dispense a patient’s prescription and is unable to transfer the prescription to another pharmacy licensed pursuant to NRS 639.2328 that is able to dispense the prescription, the Canadian pharmacy shall:

     (a) Ensure that a pharmacist employed by the pharmacy contacts the patient’s prescribing practitioner in the United States to obtain authorization to change the prescription to a drug that the pharmacy has in stock; or

     (b) Within sufficient time to ensure that the drug therapy of the patient will not be interrupted or disturbed, contact the patient to inform him or her that the pharmacy cannot dispense the prescription.

     (Added to NAC by Bd. of Pharmacy by R040-06, eff. 5-4-2006)