Nev. Admin. Code § 639.707

Current through December 12, 2024

Section 639.707 - Counseling of patients: Duties of pharmacist or intern pharmacist; documentation

1. Except as otherwise provided in this section, a pharmacist, an intern pharmacist under the supervision of a pharmacist or a dispensing practitioner shall verbally provide a patient or a person caring for the patient with information about each prescription drug or device dispensed to the patient that:

(a) Has not been previously dispensed to the patient from that pharmacy or dispensing practitioner, as applicable; or

(b) Has been previously dispensed to the patient from that pharmacy or dispensing practitioner, as applicable, including, without limitation, a prescription drug or a device that is being refilled, if, in the professional judgment of the pharmacist, intern pharmacist or dispensing practitioner:

(1) The information would further or improve the drug therapy of the patient; or

(2) A reasonable concern relating to the safety or efficacy of the drug therapy of the patient was raised by the review of the patient's record that the pharmacist, intern pharmacist or dispensing practitioner conducted pursuant to subsection 4.

2. The information provided by the pharmacist, intern pharmacist or dispensing practitioner pursuant to subsection 1 may include, without limitation:

(a) The name and a description of the drug;

(b) The form of dosage, dose, route of administration and duration of drug therapy;

(c) The intended use of the drug or device and expected responses from that use;

(d) Any special directions and precautions for the preparation, administration and use of the drug or device by the patient;

(e) Any common severe side effects, interactions and contraindications that may occur, recommendations to avoid these side effects, interactions or contraindications, and the action required if they occur;

(f) Techniques for the patient or the person caring for the patient to monitor the drug therapy;

(g) Proper storage of the drug or device;

(h) Information about refilling the prescription;

(i) Actions to be taken in the event of a missed dose;

(j) Any relevant information contained in the record of medication of the patient; and

(k) Any other information which, in the professional judgment of the pharmacist, intern pharmacist or dispensing practitioner, is necessary to ensure the safe and effective use of the drug or device by the patient.

3. The pharmacist or intern pharmacist shall provide the information required pursuant to subsections 1 and 2 in written form to the patient if a drug or device will be distributed to the patient outside the confines of the pharmacy by mail or any other delivery service. A pharmacist or intern pharmacist is not required to provide written information pursuant to this subsection if the drug or device is being delivered to a patient who is in a licensed medical facility where other licensed health care professionals are authorized to administer drugs.

4. The pharmacist, intern pharmacist or dispensing practitioner shall review a patient's record before dispensing a prescription to determine its therapeutic appropriateness and, in making that determination, may consider, without limitation:

(a) Overutilization of the drug and drug misuse;

(b) Underutilization of the drug;

(c) Therapeutic duplications, contraindications and any warning labels or other information included with the drug;

(d) Interactions between the drug and any:

(1) Other drugs which the patient is taking or has recently taken;

(2) Diseases which the patient has, including any stages of that disease; and

(3) Allergies that the patient may have; and

(e) Incorrect dosage or duration of treatment.

5. A pharmacist, intern pharmacist or dispensing practitioner is not required to counsel a patient pursuant to this section if the patient or a person caring for the patient refuses to accept the counseling.

6. A pharmacist, intern pharmacist or dispensing practitioner who dispenses a prescription shall:

(a) Create or update, as applicable, the record of medication described in subsection 1 of NAC 639.708; and

(b) Include the record of medication, and any updates to the record of medication, in the computerized system or files, as applicable, of the pharmacy where the prescription is dispensed.

Nev. Admin. Code § 639.707

Added to NAC by Bd. of Pharmacy, eff. 11-15-93; A 9-6-96; R016-03, 10-21-2003; R050-07, 12-17-2008; R034-09, 10-27-2009; A by R180-22A, eff. 12/29/2022; A by R085-24A, eff. 10/23/2024

NRS 639.070, 639.266