Senate Bill No. 101–Committee on Commerce and Labor

(On Behalf of Board of Pharmacy)

February 4, 1999

____________

Referred to Committee on Commerce and Labor

 

SUMMARY—Makes various changes to provisions governing pharmacy. (BDR 54-414)

FISCAL NOTE: Effect on Local Government: No.

Effect on the State or on Industrial Insurance: No.

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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

 

AN ACT relating to pharmacy; eliminating the requirement that the secretary and treasurer of the state board of pharmacy furnish a bond for the benefit of the board; revising the qualifications of a registered pharmacist; providing expiration dates for certificates, licenses and permits issued by the board; revising the provisions governing the computerized program developed by the board and the investigation division of the department of motor vehicles and public safety to track prescriptions for certain controlled substances; and providing other matters properly relating thereto.

 

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

1-1 Section 1. NRS 639.0086 is hereby amended to read as follows:

1-2 639.0086 "Intern pharmacist" means a person registered with and

1-3 [certified] issued a certificate of registration by the board as an intern

1-4 pharmacist pursuant to NRS 639.137.

1-5 Sec. 2. NRS 639.040 is hereby amended to read as follows:

1-6 639.040 1. The board shall elect a president and a treasurer from

1-7 among its members.

1-8 2. The board shall employ a secretary, who must not be a member of

1-9 the board. The secretary shall keep a complete record of all proceedings of

1-10 the board and of all certificates issued, and shall perform such other duties

1-11 as the board may [from time to time] require, for which services he is

1-12 entitled to receive a salary to be determined by the board.

2-1 [3. The secretary and the treasurer shall each give a satisfactory bond

2-2 running to the board in the sum of not less than $2,000, and such a greater

2-3 sum as the board may from time to time require, for the faithful discharge

2-4 of their respective duties. The premium or costs of those bonds must be

2-5 paid out of money received by the board.]

2-6 Sec. 3. NRS 639.100 is hereby amended to read as follows:

2-7 639.100 1. Except as otherwise provided in this chapter, it is

2-8 unlawful for any person to manufacture, engage in wholesale distribution,

2-9 compound, sell or dispense, or permit to be manufactured, distributed at

2-10 wholesale, compounded, sold or dispensed, any drug, poison, medicine or

2-11 chemical, or to dispense or compound, or permit to be dispensed or

2-12 compounded, any prescription of a practitioner, unless he:

2-13 (a) Is a prescribing practitioner, a person licensed to engage in

2-14 wholesale distribution, a technologist in radiology or nuclear medicine

2-15 under the supervision of the prescribing practitioner, a registered

2-16 pharmacist, or a registered nurse certified in oncology under the

2-17 supervision of the prescribing practitioner; and

2-18 (b) Complies with the regulations adopted by the board.

2-19 2. Sales representatives, manufacturers or wholesalers selling only in

2-20 wholesale lots and not to the general public and compounders or sellers of

2-21 medical gases need not be registered pharmacists. A person shall not act as

2-22 a manufacturer or wholesaler unless he has obtained a license from the

2-23 board.

2-24 3. Any nonprofit cooperative organization or any manufacturer or

2-25 wholesaler who furnishes, sells, offers to sell or delivers a controlled

2-26 substance which is intended, designed and labeled "For Veterinary Use

2-27 Only" is subject to the provisions of this chapter, and shall not furnish, sell

2-28 or offer to sell such a substance until he has obtained a license from the

2-29 board.

2-30 4. Each application for such a license must be made on a form

2-31 furnished by the board and an application must not be considered by the

2-32 board until all the information required thereon has been completed. Upon

2-33 approval of the application by the board and the payment of the required

2-34 fee, the board shall issue a license to the applicant. Each license must be

2-35 issued to a specific person for a specific location . [, and renewed

2-36 biennially.]

2-37 Sec. 4. NRS 639.120 is hereby amended to read as follows:

2-38 639.120 1. An applicant to become a registered pharmacist in this

2-39 state must:

2-40 [1.] (a) Be of good moral character.

2-41 [2.] (b) Be a graduate of a college of pharmacy or department of

2-42 pharmacy of a university accredited by the American Council on

2-43 Pharmaceutical Education and approved by the board or a graduate of a

3-1 foreign school who has passed an examination for foreign graduates

3-2 approved by the board to demonstrate that his education is equivalent.

3-3 [3.] (c) Pass an examination approved and given by the board with a

3-4 grade of at least 75 on the examination as a whole and a grade of at least 75

3-5 on the examination on law. An applicant for registration by reciprocity

3-6 must pass the examination on law with at least a grade of 75.

3-7 [4. Complete 1 year]

3-8 (d) Complete not less than 1,500 hours of practical pharmaceutical

3-9 experience [.] as an intern pharmacist under the direct and immediate

3-10 supervision of a registered pharmacist.

3-11 2. The practical pharmaceutical experience required pursuant to

3-12 paragraph (d) of subsection 1 must relate primarily to the selling of

3-13 drugs, poisons and devices, the compounding and dispensing of

3-14 prescriptions, preparing prescriptions and keeping records and preparing

3-15 reports required by state and federal statutes.

3-16 3. The board may accept evidence of compliance with the

3-17 requirements set forth in paragraph (d) of subsection 1 from boards of

3-18 pharmacy of other states in which the experience requirement is

3-19 equivalent to the requirements in this state.

3-20 Sec. 5. NRS 639.127 is hereby amended to read as follows:

3-21 639.127 1. An applicant for registration as a pharmacist in this state

3-22 must submit an application to the secretary of the board on a form furnished

3-23 by the board and must pay the fee fixed by the board. The fee must be paid

3-24 at the time the application is submitted and is compensation to the board for

3-25 the investigation and the examination of the applicant. Under no

3-26 circumstances may the fee be refunded.

3-27 2. Proof of the qualifications of any applicant must be made to the

3-28 satisfaction of the board and must be substantiated by affidavits, records or

3-29 such other evidence as the board may require.

3-30 3. An application is only valid for 1 year [from] after the date it is

3-31 received by the board unless the board extends its period of validity.

3-32 4. A certificate of registration as a pharmacist must be issued to each

3-33 person who the board determines is qualified pursuant to the provisions

3-34 of NRS 639.120, 639.133 and 639.134. The certificate entitles the person

3-35 to whom it is issued to practice pharmacy in this state.

3-36 Sec. 6. NRS 639.134 is hereby amended to read as follows:

3-37 639.134 1. The board may, without an examination, register as a

3-38 pharmacist any person who:

3-39 (a) Is registered as a pharmacist in another jurisdiction if he was

3-40 required to pass an examination in order to be registered in that

3-41 jurisdiction;

3-42 (b) Produces evidence satisfactory to the board that he has the required

3-43 secondary and professional education and training and, if a graduate of a

4-1 foreign school, produces evidence that, before taking the examination for

4-2 registration in that jurisdiction, he passed an examination for foreign

4-3 graduates offered in that jurisdiction which is comparable to the

4-4 examination required [in subsection 2] pursuant to paragraph (b) of

4-5 subsection 1 of NRS 639.120; and

4-6 (c) Is of good moral character.

4-7 2. The provisions of this section apply only if pharmacists registered in

4-8 this state are granted similar privileges by the state in which the applicant is

4-9 registered.

4-10 Sec. 7. NRS 639.137 is hereby amended to read as follows:

4-11 639.137 1. Any person who is not a registered pharmacist, but who is

4-12 employed in this state for the purpose of fulfilling the requirements of

4-13 [subsection 4] paragraph (d) of subsection 1 of NRS 639.120 to become

4-14 eligible for registration as a pharmacist, shall register with the board as an

4-15 intern pharmacist. An applicant, to be eligible for registration as an intern

4-16 pharmacist, must have completed a minimum of 1 year in a college of

4-17 pharmacy or a department of pharmacy of a university approved by the

4-18 board or be a graduate of a foreign school and pass an examination for

4-19 foreign graduates approved by the board. The application must be made on

4-20 a form furnished by the board.

4-21 2. The secretary of the board, upon approval of the application, shall

4-22 issue a certificate of registration authorizing the applicant to undergo

4-23 practical pharmaceutical training under the direct and immediate

4-24 supervision of a registered pharmacist. The certificate of registration

4-25 authorizes the holder, if acting under the direct and immediate supervision

4-26 of a registered pharmacist, to perform the duties of a registered pharmacist

4-27 and to perform other activities as authorized by regulation of the board.

4-28 The period of validity of the certificate of registration, including any

4-29 renewal, must not [be valid for more than] exceed 4 years [from] after the

4-30 date of issue.

4-31 3. The certificate of registration must be posted as required by NRS

4-32 639.150.

4-33 4. Any certificate of registration issued pursuant to the provisions of

4-34 this section may be suspended, terminated or revoked by the board for:

4-35 (a) Any reason set forth in this chapter as grounds for the suspension or

4-36 revocation of any certificate, license or permit; or

4-37 (b) The failure of the registered pharmacist whose name appears on the

4-38 certificate of registration to provide adequate training and supervision for

4-39 the intern pharmacist in compliance with regulations adopted by the board.

4-40 Sec. 8. NRS 639.1371 is hereby amended to read as follows:

4-41 639.1371 1. [Supportive personnel shall register biennially with the

4-42 board and pay the required fee for registration.

5-1 2.] The ratio of supportive personnel to pharmacists must not allow

5-2 more than one supportive personnel to each pharmacist unless the board by

5-3 regulation expands the ratio.

5-4 [3.] 2. The board shall adopt regulations concerning supportive

5-5 personnel, including requirements for:

5-6 (a) The qualifications, registration and supervision of supportive

5-7 personnel; and

5-8 (b) Services which may be performed by supportive personnel,

5-9 to ensure the protection and safety of the public in the provision of

5-10 pharmaceutical care.

5-11 [4.] 3. The regulations adopted by the board pursuant to this section

5-12 which prescribe:

5-13 (a) The qualifications for supportive personnel must include:

5-14 (1) At least 1 year of education at a postsecondary school which is

5-15 directly related to the duties performed by supportive personnel;

5-16 (2) The successful completion of a program for supportive personnel

5-17 which is approved by the board;

5-18 (3) The completion of at least 1,500 hours of experience in carrying

5-19 out the duties of supportive personnel; or

5-20 (4) Any other experience or education deemed equivalent by the

5-21 board.

5-22 (b) An expanded ratio of supportive personnel to pharmacists must not

5-23 allow more than two supportive personnel for each pharmacist in a

5-24 particular category of pharmacy at any time.

5-25 (c) The services which may be performed by supportive personnel must

5-26 include, without limitation, the:

5-27 (1) Removal of drugs from stock;

5-28 (2) Counting, pouring or mixing of drugs;

5-29 (3) Placing of drugs in containers;

5-30 (4) Affixing of labels to containers; and

5-31 (5) Packaging and repackaging of drugs.

5-32 [5.] 4. For the purposes of this chapter, and chapters 453 and 454 of

5-33 NRS, supportive personnel may perform acts required to be performed by

5-34 pharmacists but only to the extent provided in regulations.

5-35 Sec. 9. NRS 639.150 is hereby amended to read as follows:

5-36 639.150 1. The holder of a certificate of registration , [or a certificate

5-37 as an intern pharmacist,] a license or a permit granted pursuant to the

5-38 provisions of this chapter shall display the certificate, license or permit, and

5-39 the current renewal receipt thereof, in the pharmacy conducted by him or in

5-40 which he is employed in a place where it may be clearly read by the public.

5-41 2. A registered pharmacist who is employed or who practices in more

5-42 than one pharmacy shall post his original certificate of registration and the

5-43 current renewal receipt in the pharmacy in which he is primarily employed,

6-1 in compliance with the provisions of subsection 1, and shall post an 8-inch

6-2 by 10-inch photocopy of his certificate of registration and the current

6-3 renewal receipt in every other pharmacy in which he practices on either a

6-4 part-time or temporary basis.

6-5 3. An institutional pharmacy that serves a majority of inpatients shall

6-6 display certificates, licenses and permits in accordance with regulations

6-7 adopted by the board.

6-8 Sec. 10. NRS 639.180 is hereby amended to read as follows:

6-9 639.180 1. [A certificate as a registered pharmacist must be issued to

6-10 each person who the board determines is qualified pursuant to the

6-11 provisions of NRS 639.120, 639.133 and 639.134. The certificate entitles

6-12 the person to whom it is issued to practice pharmacy in this state.

6-13 2. Each] Except as otherwise provided in this subsection, a

6-14 certificate, license or permit issued by the board pursuant to this chapter

6-15 expires on October 31 of each even-numbered year. A certificate of

6-16 registration as a pharmacist expires on October 31 of each

6-17 odd-numbered year.

6-18 2. Except as otherwise provided by NRS 639.137, 639.230 and

6-19 639.2328, each person to whom a certificate , license or permit has been

6-20 issued may, if [his] the certificate , license or permit has not been revoked,

6-21 renew [his] the certificate , license or permit biennially by [filing an

6-22 application, paying] :

6-23 (a) Filing an application for renewal;

6-24 (b) Paying the fee for renewal [fee, complying] ;

6-25 (c) Complying with the requirement of continuing professional

6-26 education, if applicable [, and, if] ; and

6-27 (d) If the applicant is a natural person [,] who is applying for the

6-28 renewal of a certificate of registration as a pharmacist, an intern

6-29 pharmacist or supportive personnel or a license issued pursuant to NRS

6-30 639.233, submitting the statement required pursuant to NRS 639.129.

6-31 3. The application for [the renewal of the certificate,] renewal, together

6-32 with the fee for renewal and , if applicable, the statement , must be

6-33 delivered to the secretary of the board on or before the expiration date of

6-34 [any existing valid] the certificate , license or permit, or the current

6-35 renewal receipt [.] thereof.

6-36 4. If a certificate , license or permit is renewed, it must be delivered to

6-37 the applicant within a reasonable time after receipt of the [renewal]

6-38 application for renewal and the fee [.] for renewal.

6-39 5. The board may refuse to renew a certificate , license or permit if the

6-40 applicant has committed any act proscribed by NRS 639.210.

6-41 6. [The board may prorate the required fee for periods of partial

6-42 biennial registration.] If the application for renewal and the fee for

6-43 renewal and, if applicable, the statement, are not postmarked on or

7-1 before the expiration date of the certificate, license or permit, or the

7-2 current renewal receipt thereof, the registration is automatically

7-3 forfeited.

7-4 Sec. 11. NRS 639.190 is hereby amended to read as follows:

7-5 639.190 [1. If an application for renewal and the required fee is not

7-6 postmarked on or before the expiration date of the certificate, the

7-7 registration is automatically forfeited.

7-8 2. If the] If a certificate of [any person] registration as a pharmacist is

7-9 forfeited by a person as provided in [this section,] NRS 639.180, the board

7-10 may, within 5 years thereafter, issue [him] a certificate of registration [,] to

7-11 the person if the board determines that he:

7-12 [(a)] 1. Has not committed any act listed in NRS 639.210 other than

7-13 the failure to renew his [permit] certificate by not submitting the

7-14 application for renewal or the fee for renewal [fee; and

7-15 (b)] ; and

7-16 2. Is capable and qualified by education or experience, or both, to

7-17 practice the profession of pharmacy in this state.

7-18 Sec. 12. NRS 639.230 is hereby amended to read as follows:

7-19 639.230 1. A pharmacy or a person operating as a pharmacy shall not

7-20 use the word "drug" or "drugs," "prescription" or "pharmacy," or similar

7-21 words or words of similar import, without first having secured a license

7-22 from the board.

7-23 2. Each license must be issued to a specific person and for a specific

7-24 location and is not transferable. The original license must show the name of

7-25 the owner and the name of the managing pharmacist and be displayed on

7-26 the licensed premises as provided in NRS 639.150. If the owner is a

7-27 partnership or corporation, the names of the partners or officers must also

7-28 be shown. Any change of partners or corporate officers must be

7-29 immediately reported to the board. The original license and the fee required

7-30 for reissuance of a license must be submitted to the board before the

7-31 reissuance of the license.

7-32 3. [Every] In addition to the requirements for renewal set forth in

7-33 NRS 639.180, every person holding a license to operate a pharmacy [shall:

7-34 (a) Satisfy] must satisfy the board that the pharmacy is conducted

7-35 according to law.

7-36 [(b) Submit to the secretary of the board the application for renewal of

7-37 the license and the renewal fee on or before the expiration date of the

7-38 license.

7-39 4. Upon receipt of the renewal fee, the secretary of the board shall

7-40 register the pharmacy and furnish the manager or proprietor with a receipt

7-41 valid through October 31 of the next even-numbered year.

8-1 5. If the application for renewal and the renewal fee are not postmarked

8-2 on or before the expiration date of the license, the registration is

8-3 automatically forfeited.

8-4 6.] 4. Any violation of any of the provisions of this chapter by a

8-5 managing pharmacist or by personnel of the pharmacy under the

8-6 supervision of the managing pharmacist is cause for the suspension or

8-7 revocation of the license of the pharmacy by the board.

8-8 Sec. 13. NRS 639.23505 is hereby amended to read as follows:

8-9 639.23505 [1.] A practitioner shall not dispense for human

8-10 consumption any controlled substance or dangerous drug if he charges a

8-11 patient for that substance or drug, either separately or together with charges

8-12 for other professional services:

8-13 [(a) Unless he]

8-14 1. Unless the practitioner first applies for and obtains a certificate

8-15 from the board and pays the required fee; and

8-16 [(b)] 2. Issues a written prescription.

8-17 [2. Each person to whom a certificate is given pursuant to subsection 1

8-18 may, if his authorization has not been revoked, renew his authorization

8-19 biennially upon making application to the board and paying the required

8-20 renewal fee. The application for renewal and fee must be submitted on or

8-21 before the expiration date of the certificate.]

8-22 Sec. 14. NRS 639.2825 is hereby amended to read as follows:

8-23 639.2825 1. Except as otherwise provided in subsection 2, it is

8-24 unlawful for the holder of a certificate of registration as a pharmacist, a

8-25 certificate of registration as an intern pharmacist, a license or a permit

8-26 granted pursuant to this chapter to sell, furnish or fit a contact lens.

8-27 2. A registered pharmacist may, pursuant to a prescription, sell or

8-28 furnish a prepackaged contact lens that does not require any adjustment,

8-29 modification or fitting, if:

8-30 (a) The prescription includes an expiration date and sets forth the

8-31 number of refills that the person for whom the contact lens is prescribed

8-32 may receive; and

8-33 (b) The contact lens is not sold or furnished with the intent that the

8-34 initial use of the contact lens will occur after the expiration date of the

8-35 prescription.

8-36 3. As used in this section, "contact lens" includes, without limitation,

8-37 any cosmetic or therapeutic contact lens or any contact lens that is used to

8-38 improve visual acuity.

8-39 Sec. 15. NRS 453.1545 is hereby amended to read as follows:

8-40 453.1545 1. The board and the division shall cooperatively develop a

8-41 computerized program to track each prescription for a controlled substance

8-42 listed in schedule II, III or IV that is filled by a pharmacy [.] that is

8-43 registered with the board. The program must:

9-1 (a) Be designed to provide information regarding [the] :

9-2 (1) The inappropriate use by a patient of controlled substances listed

9-3 in schedules II, III and IV to pharmacies, practitioners and appropriate state

9-4 agencies in order to prevent the improper or illegal use of such controlled

9-5 substances [.] ; and

9-6 (2) Statistical data relating to the use of such controlled substances

9-7 that is not specific to a particular patient.

9-8 (b) Be administered by the board, the division, the bureau of alcohol and

9-9 drug abuse of the rehabilitation division of the department of employment,

9-10 training and rehabilitation and various practitioners, representatives of

9-11 professional associations for practitioners, representatives of occupational

9-12 licensing boards and prosecuting attorneys selected by the board and the

9-13 division.

9-14 (c) Not infringe on the legal use of a controlled substance for the

9-15 management of severe or intractable pain.

9-16 2. The board and division must have access to the program established

9-17 pursuant to subsection 1 for the purpose of identifying any suspected

9-18 fraudulent or illegal activity related to the dispensing of controlled

9-19 substances.

9-20 3. The board and division shall report any activity it reasonably

9-21 suspects may be fraudulent or illegal to the appropriate law enforcement

9-22 agency or occupational licensing board and provide the law enforcement

9-23 agency or occupational licensing board with the relevant information

9-24 obtained from the program for further investigation.

9-25 4. Information obtained from the program relating to a practitioner or

9-26 a patient is confidential and, except as otherwise provided by this section,

9-27 must not be disclosed to any person. [Information obtained from the

9-28 program] Such information must be disclosed:

9-29 (a) Upon the request of a person about whom the information requested

9-30 concerns or upon the request on his behalf by his attorney; or

9-31 (b) Upon the lawful order of a court of competent jurisdiction.

9-32 5. The board and the division may apply for any available grants and

9-33 accept any gifts, grants or donations to assist in developing and maintaining

9-34 the program required by this section.

9-35 Sec. 16. NRS 453.385 is hereby amended to read as follows:

9-36 453.385 1. Each prescription for a controlled substance listed in

9-37 schedule II must be written on a separate prescription blank or as an order

9-38 on the chart of a patient. The chart of a patient may be used to order

9-39 multiple prescriptions for that patient.

9-40 2. A prescription for a controlled substance must contain:

9-41 (a) The name of the practitioner, his signature if the prescription was not

9-42 transmitted orally and his address if not immediately available to the

9-43 pharmacist;

10-1 (b) The classification of his license;

10-2 (c) His registration number from the Drug Enforcement Administration

10-3 if it is not immediately available to the pharmacist;

10-4 (d) The name of the patient, and his address if not immediately available

10-5 to the pharmacist;

10-6 (e) The name, strength and quantity of the drug or drugs prescribed;

10-7 (f) Directions for use; and

10-8 (g) The date of issue.

10-9 3. A prescription for a controlled substance listed in:

10-10 (a) Schedule III, IV or V must be signed by the practitioner pursuant to

10-11 the regulations of the board and may be preprinted or written by an agent of

10-12 the practitioner, or may be transmitted electronically or by a facsimile

10-13 machine from the practitioner to a pharmacy pursuant to the regulations of

10-14 the board.

10-15 (b) Schedule II must be written and signed entirely by hand by the

10-16 practitioner who issued it, except that:

10-17 (1) The addresses of the patient and the practitioner may be added by

10-18 the pharmacist.

10-19 (2) The name of the practitioner, his address [,] and the classification

10-20 of his license [and his registration number for the Drug Enforcement

10-21 Administration may] must be preprinted on the prescription form.

10-22 (3) The registration number of the practitioner assigned by the

10-23 Drug Enforcement Administration may be preprinted on the prescription

10-24 form.

10-25 (4) The prescription may be transmitted by the practitioner or an

10-26 agent of the practitioner to a pharmacy by a facsimile machine if the

10-27 original written prescription is presented to the pharmacist for review

10-28 before the dispensing of the controlled substance, except that:

10-29 (I) If the controlled substance is to be compounded for the direct

10-30 administration to a patient by parenteral, intravenous, intramuscular,

10-31 subcutaneous or intraspinal infusion, the transmission from the facsimile

10-32 machine shall be deemed to be the original written prescription.

10-33 (II) If the controlled substance is prescribed for a resident of a

10-34 facility for long-term care, the transmission from the facsimile machine

10-35 shall be deemed to be the original written prescription and must be

10-36 maintained in accordance with 21 C.F.R. § 1304.04(h).

10-37 4. Directions for use must be specific in that they must indicate the

10-38 portion of the body to which the medication is to be applied, or, if to be

10-39 taken into the body by means other than orally, the orifice or canal of the

10-40 body into which the medication is to be inserted or injected.

10-41 Sec. 17. NRS 639.125 is hereby repealed.

11-1 Sec. 18. Notwithstanding the amendatory provisions of NRS 639.180,

11-2 any existing certificate, license or permit issued by the state board of

11-3 pharmacy pursuant to chapter 639 of NRS is valid until the expiration date

11-4 of the certificate, license or permit and all renewals made after that date

11-5 expire on October 31 of each even-numbered year or on October 31 of each

11-6 odd-numbered year as provided by the amendatory provisions of NRS

11-7 639.180.

 

11-8 TEXT OF REPEALED SECTION

11-9 NRS 639.125 "Year of practical pharmaceutical experience"

11-10 defined.

11-11 1. For the purpose of subsection 4 of NRS 639.120, a year of practical

11-12 pharmaceutical experience must consist of not less than 1,500 hours, of

11-13 which not more than 500 hours may be obtained in a structured clinical

11-14 program of an accredited college of pharmacy and not less than 1,000 hours

11-15 are performed in a pharmacy under the direct and immediate supervision of

11-16 a pharmacist.

11-17 2. Such experience may not be accepted unless the applicant has

11-18 completed sufficient educational requirements as established by the board.

11-19 3. Such experience must relate primarily to the selling of drugs,

11-20 poisons and devices, the compounding and dispensing of prescriptions,

11-21 preparing prescriptions and keeping records and preparing reports required

11-22 by state and federal statutes.

11-23 4. The board may, in its discretion, accept evidence of compliance with

11-24 the requirements of subsection 4 of NRS 639.120 from boards of pharmacy

11-25 of other states in which the experience requirement is equivalent to the

11-26 requirements in this state.

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