Medication Management Program Applications

Submit an application for a Medication Management Program

On this page you will find information to apply to start a new medication management program, change an existing program or renew an existing program with or without changes.

Application types:

• Initial application to create a new program
• Add or remove instructor to an existing program
• Renew an existing program - NO changes (online form only)
• Renew an existing program - WITH changes (revised curriculum must be submitted for approval along with the online form*)

Prior to submitting your application, view the information below to understand the requirements.

1. Submit the online application submission form.

2. Send all the required items marked with [*] below to medmgt@health.nv.gov.

Curriculum requirements

• Name of organization
• Contact information for Course Coordinator and Instructor(s) – name, phone number, email
• Title and outline of each topic * must include the required topics from the Med Mgmt. Curriculum Topics list linked here.
• Statement of course objectives *
• Copy of all Curriculum (handouts, videos, or graphical training aids that will be used in the training program, in an electronic format) *
• Access to online training (if applicable)
• Sample Instructor post training evaluation questionnaire to be completed by students *
• NV Commission on Post Secondary Education (CPE) Letter of Exemption, licensure, or proof of application per NRS 394. You can access the application for CPE licensure or Exemption here *
• Medication Management Curriculum Review, linked here *

Instructor requirements (for each instructor)

• Resume *
• Evidence of completion of an approved 16 hour and/or 8 hours medication management class in the past twelve months *
• Signed copy of the Ethical Obligations Agreement linked here *
• Must have the ability to speak, read, write, and teach the entire course in English
• Must own or have authorized use of an approved medication management curriculum
• Must be in good standing with any applicable licensing boards (BOME, BON, BELTCA)
  • AND
• Is a licensed healthcare professional - MD, DO, PA, NP, RN, LP – send proof of license* (if appliable)
  • OR
• Has 3 years evidence of completion of an approved 16 hour and/or 8 hours medication management class* (if applicable)

Submit your application

Once you have all of the requirements ready to go, submit your initial, change, or renewal application for a Medication Management Course by completing both the online application submission form and then sending required items * listed above, to medmgt@health.nv.gov

Lastly, instructor applicants must pass the interview with the Medication Management team, in-person, or via video conference. This will occur after your required items * have been reviewed and accepted.