Maryland Administrative Code

.04 Personnel. A. The permit holder shall appoint a responsible pharmacist who shall: (1) Be responsible for the operations of the pharmacy and for compliance with the requirements of Health Occupations Article, Title 12, Annotated Code of Maryland, and the regulations promulgate…

.05 Physical Requirements. A. Storage. The permit holder or designee shall ensure that medications and supplies within the pharmacy are properly stored according to the manufacturer’s specifications and State and federal laws and regulations with respect to: (1) Sanitation; (2) T…

.06 Medication and Device Distribution and Pharmaceutical Services. A. The responsible pharmacist shall be accountable for, at a minimum: (1) The preparation of medications compounded in the pharmacy as applicable; (2) The proper preparation, storage, and distribution of compound…

.07 Medication Packaging. A. A licensed pharmacist shall verify the: (1) Selection of medication to be packaged; and (2) Completed packaging of medication performed by registered pharmacy technicians for the following: (a) Accuracy; (b) Completeness; (c) Appropriateness; and (d) …

.08 Labeling of Resident Medications. A. A licensed pharmacist shall ensure that medications dispensed by the pharmacy and intended for use within an assisted living program or group home are dispensed in appropriate containers and are labeled with the: (1) Name and address of th…

.09 Drug Control and Accountability. A. Medications may be accepted for return if: (1) The returned medication is properly labeled and properly sealed in the manufacturer’s package or an individually labeled unit dose of a drug or a device; (2) A licensed pharmacist determines th…

.10 Quality Management. A. The responsible pharmacist, in cooperation with the appropriate committee of the assisted living program, shall develop procedures for an ongoing quality management program that includes a mechanism for reviewing and evaluating pharmaceutical services a…

.01 Scope. This chapter establishes requirements for a pharmacy licensed by the Maryland Board of Pharmacy that: A. Engages in wholesale distribution; or B. Operates as a nonresident pharmacy.

.02 Pharmacies Issued a Waiver Permit. A. A pharmacy that is issued a waiver permit by the Board under Health Occupations Article, §12–403(c), Annotated Code of Maryland, may engage in wholesale distribution, provided that: (1) The waiver pharmacy only engages in wholesale distri…

.03 Requirements for Wholesale Distribution. A. General Requirements. (1) A full service pharmacy may conduct wholesale distribution provided that the wholesale distribution business does not exceed 5 percent of the full service pharmacy’s annual sales. (2) A full service pharmac…

.04 Requirements for Nonresident Pharmacy Operations. A. A Maryland licensed pharmacist may not be employed by more than one nonresident pharmacy at a time. B. A nonresident pharmacy shall: (1) Hold a pharmacy permit issued by the Board; (2) Have a pharmacist on staff who is: (a)…

.01 Scope. A. This chapter applies to applicants for registration as pharmacy interns and to registered pharmacy interns. B. This chapter does not apply to pharmacy students: (1) In a school of pharmacy sanctioned experiential learning program; or (2) Registered as pharmacy techn…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the State Board of Pharmacy. (2) “Direct supervision” means that a licensed pharmacist is physically available, notwithstanding appropriate breaks, on-site an…

.03 Prohibited Pharmacy Acts. A registered pharmacy intern may not: A. Delegate a pharmacy act; B. Perform a final verification of a prescription drug or device before dispensing; C. Perform any act that has not been authorized by the supervising pharmacist; D. Represent themselv…

.04 General Requirements. A. Each registered pharmacy intern shall: (1) Display the pharmacy intern’s registration in the office or place of business in which the pharmacy intern is practicing pharmacy under the direct supervision of a licensed pharmacist; or (2) Have the registr…

.05 Limitation on Supervision. A licensed pharmacist may not directly supervise more than two registered pharmacy interns at one time.

.06 Registration Requirements. A. An applicant shall be an individual who: (1) Is currently enrolled and has completed 1 year of professional pharmacy education in a doctor of pharmacy program: (a) Accredited by the Accreditation Council for Pharmacy Education; or (b) Having prec…

.07 Renewal Requirements. A. The pharmacy intern’s registration shall expire on the last day of the birth month following 1 year after initial registration. B. Except as provided in §C of this regulation, the Board shall send to each registrant, at least 1 month before a registra…

.01 Scope. This chapter does not limit or affect the right of an individual to practice a health occupation that the individual is authorized to practice.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the State Board of Pharmacy. (2) “Pharmacist” means an individual who practices pharmacy regardless of the location where the activities of practice are perfo…

.03 Requirements to Administer Self-Administered Drugs. A. A licensed pharmacist shall attest that the pharmacist has the appropriate training in administration of self-administered drugs that consists of instruction on: (1) Ear drops; (2) Eye drops; (3) Inhalation therapies; (4)…

.04 Record Keeping. A. The pharmacist shall document in the patient record the administration of a self-administered drug that includes the following information: (1) Name of the drug; (2) Dosage administered; (3) Site of administration; (4) Date and time of administration; and (…

.01 Scope. This chapter does not limit or otherwise affect the right of an individual to practice pharmacy or any other health occupation that the individual is authorized to practice.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the Maryland Board of Pharmacy. (2) “Contraceptives” means contraceptive medications and self-administered contraceptive devices approved by the U.S. Food and…

.03 Requirements to Prescribe Contraceptives. A. Board Responsibilities. The Board shall develop and adopt the following items, in consultation with stakeholders to be determined by the Board: (1) A self-screening risk assessment questionnaire that a patient shall complete before…

.04 Training Program Requirements. At a minimum, a Board-approved training program shall contain the following elements: A. An overview of contraceptive medications and self-administered contraceptive devices; B. An overview of the self-screening risk assessment questionnaire; C.…

.05 Record Keeping. For a minimum of 5 years, a pharmacy whose pharmacists prescribe contraceptives shall maintain documentation, in electronic or other form, which includes: A. The type of contraceptive prescribed, and dosage, if applicable, or the basis for not prescribing a co…

.06 Continuing Education Requirement. A pharmacist who prescribes contraceptives in Maryland shall earn 1 hour of Board-approved continuing pharmaceutical education related to contraception before the pharmacist’s license renewal date.

.01 Scope. This chapter does not limit or otherwise affect the right of an individual to practice pharmacy or any other health occupation that the individual is authorized to practice.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Authorized prescriber” means a practitioner licensed and authorized under Health Occupations Article, Annotated Code of Maryland, to prescribe prescription drugs. (2) “Boa…

.03 Requirements to Administer a Maintenance Injectable Medication — Pharmacist’s Responsibilities. A. Upon completion of all requirements established by the Board in this chapter, and after review of all relevant information, a pharmacist may administer a maintenance injectable …

.04 Training Program Requirements. A. Except as provided in §C of this regulation, a pharmacist shall successfully complete a Board-approved training program for the administration of injectable maintenance medications prior to administering injectable maintenance medications. B.…

.05 Record Keeping. A. A pharmacy that staffs a pharmacist that administers a maintenance injectable medication shall maintain the records of a minor patient, including the information listed in §B of this regulation, until the minor patient attains the age of majority plus 3 yea…

.06 Patient Information and Consent. A. A pharmacist that administers a maintenance injectable medication shall: (1) Obtain a paper or electronic consent form signed by the patient, or the patient’s legal guardian, that authorizes the pharmacist to administer the maintenance inje…

.07 Standard Procedures. A. Before a pharmacist administers a maintenance injectable medication, a pharmacist shall have and maintain a written procedure for any maintenance injectable medication that may be administered. B. A pharmacist shall administer a maintenance injectable …

.01 Scope. This chapter does not limit or otherwise affect the right of an individual to practice pharmacy or any other health occupation that the individual is authorized to practice.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the Maryland Board of Pharmacy. (2) “Nicotine replacement therapy medication” means a nicotine-based treatment, including inhalers, gums, lozenges, nasal spra…

.03 Requirements to Prescribe and Dispense a Nicotine Replacement Therapy Medication. A. Training Requirements. (1) Prior to prescribing and dispensing a nicotine replacement therapy medication, a pharmacist shall complete a training program developed for the prescribing of a nic…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Autopsy report” means a written document detailing the medical findings and conclusions of a postmortem examination performed by a medical examiner. (2) “First degree rela…

.02 Report of Medical Examiner Cases to the Police or Sheriff. A. Whenever a physician, funeral director, or other person has knowledge of a death that may fall under the jurisdiction of the Office of the Chief Medical Examiner in accordance with Health-General Article, §5-308(a)…

.03 Medical Examiner. Any death in accordance with Health-General Article, §5-308(a), Annotated Code of Maryland, in the State shall be investigated and examined by the medical examiner in the Office of the Chief Medical Examiner in Baltimore, or in any other place as may be appr…

.04 Deaths Due to Fire. A. Fire Fighters and State Fire Marshal Personnel. The medical examiner shall perform an autopsy and complete toxicological examination of any fire fighter or sworn personnel of the State Fire Marshal's Office who dies in the line of duty or whose death ap…

.05 Completion of the Death Certificate. A. When the medical examiner has made a determination of the cause and manner of death, the medical examiner shall complete the death certificate. B. On the death certificate the medical examiner shall enter the: (1) Name of the deceased; …

.06 Establishing a Hospital Death as a Medical Examiner Case. A. The hospital physician shall be guided by the history and other circumstances in judging whether or not a death is under the jurisdiction of the medical examiner. B. Cases that do not fall under medical examiner jur…

.07 Hospital Autopsy of Certain Medical Examiner Cases. A. The following types of medical examiner cases may be autopsied by the hospital pathologists with the authorization of the Chief Medical Examiner: (1) Death from acute or chronic alcoholism without manifestation of trauma;…

.08 The Hospital Agent. A. Appointment. (1) Each hospital shall appoint a responsible agent, office, or individual with whom the medical examiner can communicate at any hour regarding medical examiner cases in the hospital, after receiving notification of them from the police aut…

.09 Anesthetic Deaths. In the case of any anesthetic death occurring in Maryland, the hospital in which the death occurred shall notify immediately, by telephone, the Chief Medical Examiner or a Deputy Chief Medical Examiner, an assistant medical examiner, or the deputy medical e…