CII Frequently Asked Questions

What can a pharmacist add or change to a CII prescription?

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).

What can a pharmacist not add or change to a CII prescription?

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. 

Can a pharmacist partially fill a prescription for a CII prescription?

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. 

Can a pharmacist accept a faxed CII prescription?

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. 

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?

A pharmacist cannot fill a CII prescription unless it is tendered by the pharmacy on or before the 14th day after the date of issue. “Tendered” means received by the pharmacy. The counting of the fourteen days begins on the day after the date on which the practitioner wrote the prescription. 

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 do not fill until date 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?

Nevada does not limit the quantity that a practitioner can prescribe for CII prescriptions or for any drug. 

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)