Evidence status: CURRENT STATE STATUTE. Nevada Revised Statutes §639.23914 requires a prescription medication agreement when a practitioner intends to prescribe a Schedule II, III, or IV controlled substance for more than 30 days for treatment of pain.
When the agreement is required
The practitioner must enter into the agreement with the patient no later than 30 days after issuing the initial prescription.
Recordkeeping and renewal
The agreement must be documented in the patient’s medical record and updated at least once every 365 days while the patient continues using the controlled substance, or whenever the treatment plan changes.
Mandatory agreement subjects
- The goals of treatment.
- Patient consent to drug-use testing when medically necessary.
- A requirement to take the medication only as prescribed.
- A prohibition on sharing medication.
- Disclosure of other controlled substances prescribed or taken.
- Disclosure of alcohol, cannabis, or other cannabinoid use while taking the controlled substance.
- Disclosure of side effects or complications, including overdose.
- Disclosure of each state in which the patient has previously lived or had a controlled-substance prescription filled.
- Authorization for random pill counts.
- Reasons the practitioner may change or discontinue treatment.
- Any other requirements the practitioner chooses to impose.
State floor versus clinic additions
The statute expressly allows practitioners to add additional requirements. Clinic terms such as one-pharmacy rules, fixed toxicology schedules, lost-medication rules, refill timing, marijuana consequences, fees, law-enforcement releases, and automatic-discharge provisions therefore must be classified separately unless another binding authority independently requires them.
Primary source
Reviewed: October 4, 2026.
Evidence boundary: Nevada requires the agreement for covered treatment extending beyond 30 days. The statute does not make every additional clinic term a statewide mandate.