| GENERAL PROVISIONS |
| NAC 639.010. Definitions. |
| NAC 639.030. “Date” interpreted. |
| NAC 639.032. “Facsimile machine” interpreted. |
| NAC 639.040. “File” interpreted. |
| NAC 639.050. Storage and destruction of certain controlled substances. |
| NAC 639.060. Marketing codes of conduct: Adoption of certain codes by reference. |
| NAC 639.065. Marketing codes of conduct: Periodic review of adopted codes. |
| STATE BOARD OF PHARMACY |
| NAC 639.100. Seal of Board. |
| NAC 639.110. Inactive regulations: Duties of Executive Secretary. |
| NAC 639.120. Conduct of disciplinary hearings. |
| NAC 639.130. Representation by counsel at disciplinary hearings. |
| NAC 639.140. Petitions to adopt, amend or repeal regulations. |
| NAC 639.150. Declaratory orders and advisory opinions. |
| NAC 639.160. Required time for receipt of application. |
| NAC 639.170. Waiver of regulation upon declaration of emergency: Authority; required notices. |
| CERTIFICATES, LICENSES AND PERMITS |
| NAC 639.200. Temporary certificates, licenses and permits. |
| NAC 639.205. Application to register as pharmacist: Completion required within 1 year. |
| NAC 639.210. Educational qualifications: Approval of accredited programs of education in pharmacy. |
| NAC 639.212. Educational qualifications: Advanced degree in pharmacy. |
| NAC 639.214. Application for license to operate pharmacy: Information required. |
| NAC 639.215. Application for license to operate pharmacy: Appearance of applicant before Board; execution on behalf of partnership or corporation; payment of expenses for special meeting of Board. |
| NAC 639.218. Application for inactive status. |
| NAC 639.219. Application for return to active status. |
| NAC 639.220. Schedule of fees; penalty for late renewal; exemptions from certain fees. |
| NAC 639.225. Notice to Executive Secretary of change of address. |
| NAC 639.226. Notice to Board by certain licensees of change of address. |
| NAC 639.227. Application or written notice to Board concerning change in ownership of pharmacy required under certain circumstances; suspension of license. |
| NAC 639.230. Voluntary surrender of certificate, license or registration to practice pharmacy in another state pursuant to agreement relating to disciplinary matter. |
| PHARMACEUTICAL TECHNICIANS |
| NAC 639.240. Requirements for registration of pharmaceutical technicians. |
| NAC 639.242. Registration of pharmaceutical technician in training; affidavit of managing pharmacist. |
| NAC 639.245. Maintenance and availability of records regarding certain pharmaceutical personnel on duty; activities of pharmaceutical technicians. |
| NAC 639.247. Establishment and maintenance of policies and procedures for personnel; maintenance and availability of personnel records. |
| NAC 639.250. Restrictions on supervision. |
| NAC 639.252. Initialing of prescriptions, records and reports; responsibility for filled prescriptions. |
| NAC 639.254. Initial and biennial in-service training of pharmaceutical technicians working in or for pharmacy; substitution of continuing education for in-service training. |
| NAC 639.256. Program of training: Approval by Board; testing of pharmaceutical technician in training for presence of alcohol or drug. |
| NAC 639.258. Participation in program of training for pharmaceutical technicians. |
| NAC 639.260. Disciplinary action against pharmacy. |
| INTERN PHARMACISTS |
| NAC 639.262. Application for registration; issuance of certificate of registration; maintenance of records relating to internship. |
| NAC 639.264. Employment at pharmacy as part of internship. |
| NAC 639.266. Supervision and training: Service as preceptor; duties; evaluation of internship. |
| NAC 639.268. Supervision and training: Responsibilities of registered pharmacist. |
| PHYSICIAN ASSISTANTS |
| NAC 639.269. “Physician assistant” defined. |
| NAC 639.270. Scope. |
| NAC 639.272. Requirements for registration certificate. |
| NAC 639.277. Change in location of practice or supervising physician. |
| NAC 639.280. Scope of authority to prescribe and dispense. |
| NAC 639.283. Prescriptions: Orders on charts of hospitalized patients. |
| NAC 639.285. Security and storage of controlled substances and drugs. |
| NAC 639.290. Substitution in case of illness or absence. |
| NAC 639.295. Grounds for denial of application or suspension or revocation of registration. |
| IMMUNIZATION BY PHARMACISTS AND INTERN PHARMACISTS |
| NAC 639.297. “Immunization” defined. |
| NAC 639.2971. Authorization; contents of and deviation from written protocol. |
| NAC 639.2972. Duties of authorizing physician. |
| NAC 639.2973. Training and certification to administer immunizations. |
| NAC 639.2974. Certification in basic cardiac life support; continuing education. |
| NAC 639.2975. Legal possession and control of drugs administered as immunizations; drugs to counteract adverse reactions. |
| NAC 639.2976. Reporting of certain information concerning immunizations. |
| NAC 639.2977. Maintenance of records. |
| NAC 639.2978. Confidentiality of records. |
| CONTINUING PROFESSIONAL EDUCATION |
| NAC 639.300. Definitions. |
| NAC 639.305. “Acceptable materials” defined. |
| NAC 639.310. “Accredited material” defined. |
| NAC 639.315. “Continuing education unit” defined. |
| NAC 639.320. “Provider” defined. |
| NAC 639.330. Registration and reregistration: Continuing education required; submission of proof. |
| NAC 639.333. Registration and reregistration: Acceptance of certificate issued by another state as proof of compliance with requirements for continuing education. |
| NAC 639.335. Registration and reregistration: Exceptions to requirement of continuing education. |
| NAC 639.340. Providers of continuing education: Request for recognition; grant, denial or withdrawal of recognition. |
| NAC 639.345. Providers of continuing education: Records required; issuance of certificates of completion. |
| NAC 639.350. Providers of continuing education: List of participants; reference to accreditation; information to be transmitted to Board. |
| NAC 639.360. Accreditation of material, course or program. |
| NAC 639.365. Advertising, announcements and other promotional material. |
| NAC 639.370. Materials for continuing education: Formats of programs; subject matter. |
| NAC 639.380. Advisory Committee on Continuing Education: Creation; number of members. |
| NAC 639.385. Advisory Committee on Continuing Education: Composition; powers and duties; quorum; review of materials for continuing education. |
| NAC 639.390. Certificate of completion: Retention by pharmacist; copy to be submitted to Board upon request. |
| REMOTE SITES AND TELEPHARMACIES |
| NAC 639.391. Pharmacist or dispensing practitioner required to obtain certificate of registration to dispense controlled substances or dangerous drugs at remote site. |
| NAC 639.393. Requirements for pharmaceutical technicians and dispensing technicians. |
| NAC 639.394. Supervision of pharmaceutical technicians and dispensing technicians. |
| NAC 639.396. Requirements for maintenance of records. |
| NAC 639.397. Requirements for labeling. |
| NAC 639.398. Establishment of policies and procedures for operation of remote site; monthly inspections. |
| NAC 639.399. Responsibility of pharmacist or dispensing practitioner concerning dispensing of controlled substances or dangerous drugs at remote site. |
| OFF-SITE PHARMACY PRACTICE |
| NAC 639.401. Pharmacist authorized to engage in practice of pharmacy only at licensed pharmacy; exceptions. |
| NAC 639.403. Application required for pharmacist to engage in practice of pharmacy at site other than licensed pharmacy; exemption for pharmacists who administer immunizations. |
| NAC 639.406. Hearing to approve or deny application from pharmacist. |
| NAC 639.409. Grounds for revocation, suspension or placement of restrictions on approval granted to pharmacist to practice pharmacy at site other than licensed pharmacy. |
| NAC 639.412. Application for licensed pharmacy to use services of one or more pharmacists at site other than licensed pharmacy. |
| NAC 639.415. Hearing to approve or deny application from licensed pharmacy. |
| NAC 639.418. Grounds for revocation, suspension or placement of restrictions on approval granted to licensed pharmacy to use services of one or more pharmacists at site other than licensed pharmacy. |
| INTERNET PHARMACIES |
| General Provisions |
| Certification |
| CANADIAN PHARMACIES |
| NAC 639.430. Licensure: Requirement; application. |
| NAC 639.432. Restrictions on dispensing drugs. |
| NAC 639.434. Standards of practice. |
| NAC 639.436. Dissemination of certain contact information; printing of certain information on label of prescription. |
| MEDICAL FACILITIES AND CORRECTIONAL INSTITUTIONS |
| General Provisions |
| Standards of Operation |
| Records |
| Chart Order Processing Services |
| FACILITIES FOR INTERMEDIATE CARE AND FACILITIES FOR SKILLED NURSING |
| NAC 639.492. Definitions. |
| NAC 639.494. Prescriptions for controlled substances: Accountability record; handling of unused portions. |
| NAC 639.496. Maintenance of accountability record; examination of chart orders; issuance of receipt for controlled substances delivered to coroner. |
| NAC 639.498. Destruction of certain controlled substances: Requirement; procedure. |
| SURGICAL CENTERS FOR AMBULATORY PATIENTS |
| NAC 639.4985. Definitions. |
| NAC 639.4987. “Compounding” defined. |
| NAC 639.4989. “Drug” defined. |
| NAC 639.4991. “Investigational drug” defined. |
| NAC 639.4992. Dispensing of controlled substances: Registration and licensing required. |
| NAC 639.4996. Establishment and review of policies and procedures by pharmacist. |
| NAC 639.4998. Duties of pharmacist who establishes policies and procedures. |
| PHARMACIES IN GENERAL |
| NAC 639.500. Ownership of pharmacies; application to conduct a pharmacy. |
| NAC 639.5005. Representative of pharmacy: General requirements; exceptions; approval; enforcement. |
| NAC 639.5007. Terms and conditions of license to conduct pharmacy for applicant required to designate representative. |
| NAC 639.501. Inspections; provision of self-assessment form. |
| NAC 639.5012. Confidentiality and use of self-assessment and accompanying documentation. |
| NAC 639.5014. Completion of self-assessment form before annual inspections; suggestions relating to compliance by or improvement of pharmacy. |
| NAC 639.5016. Annual inspections: Review of self-assessment form; notes regarding discrepancies or deficiencies; correction of discrepancies or deficiencies. |
| NAC 639.5018. Protection of employee providing answers, information or suggestions on self-assessment form or during inspections. |
| NAC 639.5019. Annual review by Board of provisions of NAC 639.501 to 639.5019, inclusive. |
| NAC 639.503. Maintenance in pharmacy of current statutes, regulations and reference material. |
| NAC 639.505. Maintenance in pharmacy of reports of inspection, warning notices and special bulletins. |
| NAC 639.510. Maintenance and storage of pharmaceutical stock. |
| NAC 639.512. Class A and B packaging: Label; expiration date; log. |
| NAC 639.513. Class C packaging: Expiration date. |
| NAC 639.515. Stock of drugs in facility for skilled nursing or intermediate care. |
| NAC 639.517. Nurse employed by medical facility or agency to provide nursing in the home may maintain stock of certain drugs. |
| NAC 639.520. Security of prescription departments. |
| NAC 639.523. Physical address for delivery of drugs. |
| NAC 639.525. Minimum requirements for work area and equipment. |
| NAC 639.526. Drive-through facilities. |
| NAC 639.527. Required temperature in refrigerator or freezer used to store medicine. |
| NAC 639.528. Preparation and storage of food in prescription department of pharmacy. |
| NAC 639.530. Sanitation; required washbasins; exception. |
| NAC 639.535. Remodeling or relocation of pharmacy or prescription department. |
| NAC 639.540. Notice of employment and termination of employment of certain pharmaceutical professionals. |
| NAC 639.542. Identification of persons employed by pharmacy. |
| NAC 639.556. Meal periods and rest periods for employees of pharmacy. |
| NAC 639.570. Involuntary closure of pharmacy. |
| NAC 639.575. Voluntary closure of pharmacy. |
| NAC 639.580. Permanent closure of pharmacy. |
| NUCLEAR PHARMACIES |
| NAC 639.5802. Definitions. |
| NAC 639.5804. “Agreement state” defined. |
| NAC 639.5806. “Authentication of product history” defined. |
| NAC 639.5808. “Procedures to assure the quality of radiopharmaceuticals” defined. |
| NAC 639.581. “Qualified nuclear pharmacist” defined. |
| NAC 639.5812. “Radiopharmaceutical services” defined. |
| NAC 639.5814. “Testing to control the quality of radiopharmaceutical” defined. |
| NAC 639.5816. “Radiopharmaceutical” interpreted. |
| NAC 639.5818. Nuclear pharmacist: Certification; training and instruction; affidavit of experience and training. |
| NAC 639.582. Permit to operate. |
| NAC 639.5822. Space and equipment requirements; floor plan. |
| NAC 639.5824. Security. |
| NAC 639.5826. Records. |
| NAC 639.5828. Quality assurance procedures for radiopharmaceuticals. |
| NAC 639.583. Dispensing or transferring radiopharmaceuticals. |
| NAC 639.5832. Oral order for radiopharmaceutical: Requirement to keep record; contents of record. |
| NAC 639.5834. Outer shield of radiopharmaceutical container: Label required; contents of label. |
| NAC 639.5836. Inner label of radiopharmaceutical container; contents. |
| NAC 639.5838. Records of nuclear pharmacy when radiopharmaceutical is dispensed pursuant to investigational new drug application: Contents. |
| NAC 639.584. Required equipment. |
| WHOLESALERS |
| NAC 639.585. Definitions. |
| NAC 639.587. “Facility” defined. |
| NAC 639.588. “Manufacturer” defined. |
| NAC 639.589. “Ongoing relationship” defined. |
| NAC 639.5895. “Purchaser” defined. |
| NAC 639.5897. “Purchasing wholesaler” defined. |
| NAC 639.5902. “Statement of prior sales” defined. |
| NAC 639.5905. “Supplier” defined. |
| NAC 639.592. “Wholesaler” defined. |
| NAC 639.593. Licensing requirements; consideration of transaction as wholesale transaction; transferability and renewal of license. |
| NAC 639.5931. Submission of fingerprints: Required method. |
| NAC 639.5932. Provisional license: Prerequisites for issuance. |
| NAC 639.5935. Representative of wholesaler: General requirements; exceptions; approval; enforcement. |
| NAC 639.5937. Bond or other security: Amount required from certain wholesalers; reduction of amount; substitution. |
| NAC 639.5938. Filing of single bond for multiple sites. |
| NAC 639.594. Establishment of ongoing relationship. |
| NAC 639.595. Qualifications of employees who engage in storage or distribution of drugs. |
| NAC 639.596. Facilities: General requirements; maintenance of stock. |
| NAC 639.597. Facilities: Security. |
| NAC 639.5975. Prescription drugs: Restrictions on purchase and receipt; disposal of certain drugs. |
| NAC 639.5977. Prescription drugs: Sale to purchasing wholesaler. |
| NAC 639.598. Prescription drugs: Storage. |
| NAC 639.599. Prescription drugs: Examination of shipments; actions upon determination of certain conditions. |
| NAC 639.601. Prescription drugs: Separation and disposal of certain drugs. |
| NAC 639.6015. Prescription drugs: Destruction. |
| NAC 639.602. Prescription drugs: Records. |
| NAC 639.603. Prescription drugs: Requirements regarding statements of prior sales. |
| NAC 639.6035. Prescription drugs: Exclusion of certain transactions from statements of prior sales. |
| NAC 639.604. Maintenance and availability of list of wholesalers with whom manufacturer has ongoing relationship. |
| NAC 639.605. Establishment and maintenance of policies and procedures regarding prescription drugs. |
| NAC 639.6055. Submission of certain information regarding sales and marketing staff: Submission of form after initial submittal; method of submission. |
| NAC 639.6057. Submission of certain information regarding sales and marketing staff: Incomplete, improperly completed or noncompliant submittal; correction of deficiencies. |
| NAC 639.606. Establishment and maintenance of lists regarding certain personnel. |
| NAC 639.6065. Annual submission of certain reports or proof to Board. |
| NAC 639.607. Inspections; examination of records and procedures; copies of documents. |
| MANUFACTURERS |
| NAC 639.609. “Manufacturer” defined. |
| NAC 639.610. Minimum standards for premises. |
| NAC 639.615. Equipment and requirements for operation; employees. |
| NAC 639.616. Manufacturer who employs person to sell or market drug, medicine or chemical: Annual submission of certain information to Board; review and contents of marketing code of conduct. |
| NAC 639.617. Manufacturer who employs person to sell or market device or appliance: Annual submission of certain information to Board; review and contents of marketing code of conduct. |
| NAC 639.618. Submission of certain information regarding sales and marketing staff: Submission of form after initial submittal; method of submission. |
| NAC 639.619. Submission of certain information regarding sales and marketing staff: Incomplete, improperly completed or noncompliant submittal; correction of deficiencies. |
| WAREHOUSES |
| NAC 639.620. Definitions. |
| NAC 639.621. “Authorized person” defined. |
| NAC 639.622. “Authorized warehouse” defined. |
| NAC 639.623. “Chain warehouse” defined. |
| NAC 639.624. “Facility” defined. |
| NAC 639.625. “Goods” defined. |
| NAC 639.626. “Manufacturer” defined. |
| NAC 639.627. “Pharmacy” defined. |
| NAC 639.6282. “Third-party logistics provider” defined. |
| NAC 639.629. “Wholesaler” defined. |
| NAC 639.6305. Third-party logistics providers: General requirements. |
| NAC 639.631. Licensing: General requirements. |
| NAC 639.633. Contracts authorizing receipt, storage and shipment of prescription drugs and goods. |
| NAC 639.634. Enforcement of statutory liens. |
| NAC 639.635. Cessation of operation. |
| NAC 639.636. Change in legal ownership of facility resulting from legal proceeding. |
| NAC 639.637. Facilities: General requirements. |
| NAC 639.638. Facilities: Security. |
| NAC 639.639. Prescription drugs: Storage. |
| NAC 639.640. Prescription drugs: Shipment. |
| NAC 639.641. Prescription drugs: Records. |
| NAC 639.642. Establishment of policies and procedures regarding prescription drugs. |
| NAC 639.643. Inspections; examination of records and procedures. |
| NAC 639.644. Enforcement. |
| VETERINARY DRUGS |
| NAC 639.650. Fee for and scope of permit to sell; penalty for late registration; prohibited sales; refrigeration. |
| NAC 639.660. Restriction on use of rabies vaccine. |
| COMPOUNDING AND DISPENSING DRUG PRODUCTS |
| General Provisions |
| Standards for Compounding and Dispensing Generally |
| Standards for Compounding and Dispensing Nonsterile Products |
| Standards for Compounding and Dispensing Sterile Products |
| Standards for Compounding and Dispensing Parenteral Solutions |
| PROVIDERS AND WHOLESALERS OF MEDICAL PRODUCTS |
| General Provisions |
| Licensing and Fees |
| Medical Products Providers |
| Medical Products Wholesalers |
| Disciplinary Action |
| TRADE PRACTICES |
| NAC 639.700. Performance of certain acts by pharmacists and pharmaceutical interns only. |
| NAC 639.701. Acts not required to be performed by pharmaceutical professionals. |
| NAC 639.702. Responsibility for acts and omissions of personnel who are not pharmacists. |
| NAC 639.704. Check of license or certification required before employment by pharmacy or wholesaler. |
| NAC 639.706. Marking of prescriptions with serial numbers; maintenance of files of prescriptions. |
| NAC 639.707. Counseling of patients: Duties of pharmacist or intern pharmacist; documentation. |
| NAC 639.708. Counseling of patients: Duties of pharmacy. |
| NAC 639.709. Persons to whom pharmacy may furnish certain restricted products. |
| NAC 639.7102. Use of computer system for issuance and transmission of prescription. |
| NAC 639.7105. Electronic transmission of prescription. |
| NAC 639.711. Transmission of prescription by facsimile machine. |
| NAC 639.712. Transcribing prescription transmitted by oral order. |
| NAC 639.7125. Use of fulfillment pharmacy by dispensing pharmacy. |
| NAC 639.713. Transfer of information between pharmacies: Conditions; prohibitions. |
| NAC 639.714. Transfer of information between pharmacies: Procedure for oral transfers. |
| NAC 639.7145. Transfer of information between pharmacies: Requirements for transfer by facsimile machine. |
| NAC 639.715. Mechanical devices: Restrictions on use. |
| NAC 639.718. Mechanical devices: Use by pharmacy to furnish prescription drugs to patients. |
| NAC 639.720. Mechanical devices: Use to furnish drugs and medicines for administration to registered patients in medical facility and to patients receiving treatment in emergency room of hospital. |
| NAC 639.725. Use of mechanical counting device for dispensing medication to be taken orally. |
| NAC 639.730. Inspection of damaged pharmaceuticals. |
| NAC 639.740. Container for dispensing prescribed medicine. |
| NAC 639.7425. Dispensing technician: Requirements; application and fee for registration; provisional registration; issuance of certificate of registration. |
| NAC 639.743. Dispensing technician: Access to drugs; performance of functions. |
| NAC 639.7435. Dispensing technician: Transferability, expiration and termination of registration; notice of change of address of employment; subsequent employment. |
| NAC 639.744. Dispensing practitioner: Fee for initial registration and renewal; registration of multiple dispensing technicians. |
| NAC 639.7445. Dispensing practitioner: Disciplinary action for violation of NAC 639.742 to 639.7445, inclusive. |
| NAC 639.745. Duties of certain practitioners concerning dispensing of controlled substances and dangerous drugs. |
| NAC 639.748. Identification of person to whom controlled substance is dispensed. |
| NAC 639.750. Dispensing of medication at certain locations when local retail pharmacy is closed. |
| NAC 639.751. Requirements concerning signatures or initials to be placed on prescription. |
| NAC 639.752. Restrictions on filling or dispensing certain prescriptions. |
| NAC 639.753. Declination of pharmacist to fill prescription. |
| NAC 639.754. Refilling prescriptions: Restrictions; authorization by patient without specific request for particular refill. |
| NAC 639.755. Sale of preparations for treatment of asthma. |
| NAC 639.757. Preparation and sale of compounded drugs by pharmacy or pharmacist: License as manufacturer not required under certain circumstances; unsafe or ineffective drug; restrictions on sale. |
| NAC 639.760. Return of unused drugs packaged in unit doses. |
| NAC 639.765. Disclosure by practitioner of certain ownership interests in pharmacy. |
| REPACKAGING OF PREVIOUSLY DISPENSED DRUGS |
| NAC 639.781. Definitions. |
| NAC 639.784. Duties of repackaging pharmacy. |
| NAC 639.788. Restrictions on repackaging pharmacy. |
| ADVANCED PRACTITIONERS OF NURSING |
| General Provisions |
| Prescribing |
| Dispensing |
| Disciplinary Action |
| COMPUTERIZED SYSTEMS |
| Recording of Information |
| Automated Dispensing Systems |
| DISCIPLINARY ACTION |
| NAC 639.945. Unprofessional conduct; owner responsible for acts of employees. |
| NAC 639.951. Violations by employees of pharmacy concerning controlled substances or other drugs; screening tests. |
| NAC 639.955. Imposition of fines; authority to take disciplinary action. |