Nevada Code § 639.23913

1. Before prescribing a controlled
substance listed in schedule II, III or IV to continue the treatment of pain of
a patient who has used the controlled substance for 90 consecutive days or
more, a practitioner, other than a veterinarian, must:
(a) Require the patient to complete an assessment
of the patients risk for abuse, dependency and addiction that has been
validated through peer-reviewed scientific research;
(b) Conduct an investigation, including, without
limitation, appropriate hematological and radiological studies, to determine an
evidence-based diagnosis for the cause of the pain;
(c) Meet with the patient, in person or using
telehealth, to review the treatment plan established pursuant to paragraph (c)
of subsection 1 of NRS 639.23911 to
determine whether continuation of treatment using the controlled substance is
medically appropriate; and
(d) If the patient has been prescribed a dose of
90 morphine milligram equivalents or more of an opioid per day for 90 days or
longer, consider referring the patient to a specialist.
2. If, after conducting a review of the
treatment plan and considering referral of the patient to a specialist pursuant
to paragraphs (c) and (d) of subsection 1, the practitioner decides to continue
to prescribe a dose of 90 morphine milligram equivalents or more of the opioid
per day, the practitioner must develop and document in the medical record of
the patient a revised treatment plan, which must include, without limitation,
an assessment of the increased risk for adverse outcomes.
3. For the purposes of this section, the
daily dose of a controlled substance must be calculated in accordance with the
most recent guidelines prescribed by the Centers for Disease Control and
Prevention of the United States Department of Health and Human Services.

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