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• Electronic Prescriptions

After a pharmacist obtains approval of the prescribing practitioner who wrote the CII prescription, a pharmacist can add or change:

• The strength of the drug prescribed;
• The quantity of the drug prescribed;
• The directions for use; OR
• The date of issuance can be ‘corrected’ if written in error but not changed. (ie. Writing the old year on new year’s day).

Authority:  NAC 453.440(5)(a)

A pharmacist cannot add or change to a CII prescription:

• The name of the patient;
• The name of the controlled substance (except a generic may be substituted for the controlled substance prescribed, in which case the name of the controlled substance can changed to the generic); OR
• The signature of the prescribing practitioner.
   

Authority:  NAC 453.440(5)(b)

A pharmacist may partially fill a CII prescription if either:

• The pharmacist is unable to supply the full quantity written, in which case the pharmacist must: (1) Note the quantity supplied on the face of the original prescription, and (2) Fill the remaining quantity within 72 hours after the first partial filling; OR
• The patient is in a long-term care facility or has been diagnosed as being terminally ill.

Authority:  NAC 453.460(1)(a) and (b)

A CII prescription can be faxed by a practitioner to a pharmacy only when:
 

• The controlled substance will be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion;
• The controlled substance is issued to a resident of a facility for long-term care; OR
• The controlled substance is issued to a patient enrolled in a licensed program that provides hospice care.
   

Authority:  NAC 639.711(1)(a),(b), and (c)

Can a CII be written on the same prescription along with a prescription for another drug?

Yes, a CII can be written on the same prescription as another drug including another CII.  If a CII is written on the same prescription with another drug, the pharmacy must:

• File the original in the CII files.

• Make a copy of the original prescription for each of the other prescriptions written on that prescription; and

• File the copy or copies  in the files appropriate for those drugs.  Each copy made must include a reference to the prescription number for the CII listed.

Authority:  NAC 453.450(2)

How does the 14-day rule apply to CII prescriptions?

Authority:  NRS 453.431(4)

Can a CII prescription be post-dated?

Yes, a practitioner can post-date a CII prescription if the practitioner notes on the face of the prescription a phrase such as “Do not fill before (date)” or “Do not dispense until (date).”  Three cautions regarding such prescriptions:

• The date of issuance of the prescription must be the date the practitioner actually wrote the prescription;

• The prescription must be received within 14 days of the date of issuance regardless of when the prescription may be allowed to be filled;

• Federal law prohibits the issuance of more than a 90-day supply using post-dated prescriptions.

Authority:  NAC 453.450(4)

Can a CII prescription be written for more than a one month supply?

Authority:  NAC 453.450(4)

Can a prescribing practitioner prescribe medication for a family member?

A prescribing practitioner cannot prescribe a CII (except in cases of emergency) for:

• Himself;
• His spouse; OR
• His children.

A prescribing practitioner can prescribe any other controlled substance or dangerous drug for the practitioner or the practitioner’s family.

Authority:  NAC 453.381(1)