The Nye County district attorney filed a two-count complaint Thursday accusing the 42-year-old Fleiss of unlawful use of methamphetamine and possession of the painkiller hydrocodone without a prescription.
Fleiss told the Las Vegas Review-Journal she has "a bit of a substance abuse problem" and said she intends to seek private treatment.
Prosecutors say it took almost five months to process Fleiss' blood test results after her arrest on a driving under the influence charge that prosecutors decided not to pursue.
Fleiss moved to Pahrump, Nev., in 2005.
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