1. Except as otherwise provided in subsection 4, a manufacturer or wholesaler may dispense a dialysate drug or deliver a device necessary to administer dialysis at a residence under the conditions prescribed by subsection 2 to: (a) A patient with irreversible renal disease, or a designee of the patient, for the administration of dialysis at the residence of the patient; (b) A provider of health care; or (c) A hospital or facility for the treatment of irreversible renal disease. 2. A drug dispensed or a device delivered pursuant to subsection 1 must be: (a) Approved by the United States Food and Drug Administration; (b) Prescribed or ordered by a physician, physician assistant or advanced practice registered nurse; and (c) Dispensed and delivered in the original, unopened packaging used by the manufacturer of the drug or device. 3. The provisions of NRS 454.223 , 639.235 to 639.239 , inclusive, and 639.2392 to 639.2397 , inclusive, apply to a prescription provided to a manufacturer or wholesaler pursuant to this section to the same extent as if the prescription were provided to a pharmacist. 4. The provisions of this section do not authorize a manufacturer or wholesaler to dispense a dialysate drug that is a: (a) Controlled substance to any person or entity; or (b) Dangerous drug that is unsafe for self-administering directly to or unsupervised use directly by a patient or the designee of a patient. 5. A manufacturer or wholesaler may use a third-party logistics provider to deliver a dialysate drug or device necessary to administer dialysis at a residence pursuant to subsection 1. 6. As used in this section: (a) Dialysate drug means a drug solely composed of fluids, electrolytes and sugars used for dialysis. (b) Dialysis means the method by which a dissolved substance is removed from the body of a patient by diffusion, osmosis and convection from one fluid compartment to another fluid compartment across a semipermeable membrane. (c) Facility for the treatment of irreversible renal disease has the meaning ascribed to it in NRS 449.0046 . (d) Provider of health care has the meaning ascribed to it in NRS 629.031 . (e) Third-party logistics provider means a person that transports, warehouses, packages, tracks or manages a drug or device.
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