Nevada pharmacies

Nevada’s proposed staffing rule requires daily documentation. RxShift generates it automatically.

Proposed rule R113-24 creates a daily documentation burden that spreadsheets and generic scheduling tools cannot meet. RxShift was built for exactly this.

Schedule a Walkthrough

The rule

The documentation requirement is the issue.

Nevada’s Board of Pharmacy has been advancing minimum staffing rules that go beyond ratio compliance. Under proposed R113-24, the managing pharmacist must:

Maintain hourly documentation naming each pharmacist and technician on duty

Log every deficient hour when staffing falls below required minimums

Retain those records for two years

Notify the Board after three consecutive days of deficient staffing

This isn’t a quarterly audit requirement. It’s a daily operational burden — one that creates new administrative work on every shift, every day your pharmacy is open. A managing pharmacist running two shifts a day at a busy retail location is looking at 14 hourly log entries before the week is out.

The rules

Nevada’s staffing requirements, current and proposed.

	Current (NAC 639.250)	Proposed R113-24
Base ratio (non-hospital)	1 RPh : 3 techs max	Retained
With trainees	1 tech + 2 trainees max	1 tech + 2 trainees max
Volume minimum — pharmacists	None	2 RPhs at 20+ scripts/hr; +1 per additional 20/hr
Volume minimum — techs	None	1 tech at 5–9 scripts/hr; 2 at 10–19; 3 at 20+; +1 per additional 20/hr
Hourly documentation	Not required	Required — every shift
Record retention	Not specified	2 years
Board notification	Not required	After 3 consecutive deficient days

Source: NRS 639.1371, NAC 639.250, Proposed R113-24. R113-24 was noticed for hearing in 2025 and remains in active rulemaking. RxShift’s documentation engine already produces the hourly records, the two-year retention, and the three-consecutive-day flag the rule’s reporting requirement is built around — alerting your managers, never the board; any report is the pharmacy’s decision to make. Volume-based staffing minimums are in active development.

The problem

A schedule is not a compliance record.

Generic scheduling tools track who’s on shift. They don’t know your pharmacist-to-tech ratio, which roles count toward it, or that Nevada’s supervision rules differ between hospital and non-hospital settings.

R113-24 doesn’t ask for a schedule. It asks for a compliance record — a timestamped hourly log that accounts for every position, every hour, and every deficiency. Building that manually adds meaningful administrative time to every shift.

When a board inspector requests documentation, “we use When I Work” is not an answer.

The solution

When you publish a schedule, the compliance log is already written.

Ratio engine

Every shift, every rule applied.

RxShift applies Nevada's pharmacist-to-tech ratio rules to every schedule you build — and flags any deficient half-hour before you publish, so the gap gets fixed on the screen instead of on the floor.

Hourly log

The R113-24 record, auto-generated.

Every published schedule produces a timestamped hourly record: pharmacist and tech names per hour, deficiency flags when coverage falls short, and an alert to your managers after three consecutive deficient days — the moment a board report may be required. Retained for two years, exportable on demand. RxShift never contacts the board; that decision stays inside your pharmacy.

Zero extra work

Nothing new to do after you schedule.

The compliance documentation comes out of the schedule you were already building. No separate logging. No end-of-day forms. No spreadsheet to fill in. Publish the schedule — the record exists.

Currently piloting with Nevada pharmacies.

RxShift is actively piloting with Optum-affiliated and independent pharmacies in the Las Vegas area. Nevada pharmacies that join during the pilot period receive early access pricing.

See it working in your pharmacy.

We'll walk through your current scheduling process and show you how RxShift handles Nevada's requirements. About 20 minutes.