§ 4-206.4
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/md/health-occupations/4-206-4·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§4–206.4.
(1)Except as provided in paragraph
(2)of this subsection, a dental hygienist who complies with subsections
(e)and
(f)of this section may prescribe:
(i)Topical and systemic types of prescription or over–the–counter fluoride preparations;
(ii)Topical antimicrobial oral rinses; and
(iii)Ibuprofen not exceeding 600 mg every 6 hours for up to 3 days after nonsurgical periodontal therapy.
(2)A dental hygienist may not prescribe a drug:
(i)That is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article or a controlled substance as defined by 21 U.S.C. § 812; or
(ii)The prescription of which requires a federal Drug Enforcement Agency registration.
(b)Except as provided in subsection
(c)of this section, a dental hygienist who complies with subsections
(e)and
(f)of this section may administer medication, including:
(1)A medication listed under subsection (a)(1) of this section;
(2)Premedication antibiotics by mouth as required for dental treatment;
(3)Subgingival antibiotics and antimicrobials; and
(4)Nonopioid pain medication.
(c)A dental hygienist may not administer a medication:
(1)That is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article or a controlled substance as defined by 21 U.S.C. § 812;
(2)The prescription of which requires a federal Drug Enforcement Agency registration; or
(3)Except for local anesthesia administered in accordance with § 4–206.1 or § 4–206.3 of this subtitle, that is administered by intramuscular, subcutaneous, intravenous, or intradermal injection.
(d)A dental hygienist may administer a medication under subsection
(b)of this section:
(1)Under a standing order in the patient’s record that is authorized by a supervising dentist; and
(2)If the dental hygienist includes the following information in writing in the patient’s record:
(i)The name of the medication;
(ii)The date and time the medication was administered;
(iii)The route by which the medication was administered; and
(iv)The dosage of the medication that was administered.
(e)A dental hygienist prescribing or administering medication as authorized under this section shall prescribe or administer medication:
(1)Under the general supervision of a licensed dentist;
(2)In compliance with applicable regulations adopted by the Board; and
(3)In compliance with applicable provisions of Title 12 of this article and Title 21 of the Health – General Article regarding prescription packaging, labeling, and record keeping.
(f)Before prescribing or administering medication as authorized under this section, a dental hygienist shall complete any educational requirements established by the Board under § 4–205(a)(1)(xi) of this subtitle through an accredited dental hygiene program.