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Code · Maryland · Health Occupations

§ 8-508

446 words·~2 min read·/md/health-occupations/8-508

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§8–508.
(1)In this section the following words have the meanings indicated.
(2)“Midwife” means a registered nurse certified as a nurse–midwife or a licensed certified midwife.
(3)“Nurse practitioner” means a registered nurse who is:
(i)Certified as a nurse practitioner; and
(ii)Authorized to prescribe drugs under regulations adopted by the Board.
(4)“Personally prepare and dispense” means that a nurse practitioner:
(i)Is physically present on the premises where the prescription is filled; and
(ii)Performs a final check of the prescription before it is provided to the patient.
(5)“Starter dosage” means an amount of drug sufficient to begin therapy:
(i)Of short duration of 72 hours or less; or
(ii)Prior to obtaining a larger quantity of the drug to complete therapy.
(b)A nurse practitioner or midwife may personally prepare and dispense a starter dosage of any drug the nurse practitioner or midwife is authorized to prescribe to a patient of the nurse practitioner or midwife if:
(1)The starter dosage complies with the labeling requirements of § 12–505 of this article;
(2)No charge is made for the starter dosage; and
(3)The nurse practitioner or midwife enters an appropriate record in the patient’s medical record.
(c)In accordance with the provisions of subsection
(d)of this section, a nurse practitioner may personally prepare and dispense any drug that a nurse practitioner may prescribe to the extent permitted by law in the course of treating a patient at:
(1)A medical facility or clinic that specializes in the treatment of medical cases reimbursable through workers’ compensation insurance;
(2)A medical facility or clinic that is operated on a nonprofit basis;
(3)A health center that operates on a campus of an institution of higher education;
(4)A public health facility, a medical facility under contract with a State or local health department, or a facility funded with public funds; or
(5)A nonprofit hospital or a nonprofit hospital outpatient facility as authorized under the policies established by the hospital.
(d)A nurse practitioner who personally prepares and dispenses a drug in the course of treating a patient as authorized under subsection
(c)of this section shall:
(1)Comply with the labeling requirements of § 12–505 of this article;
(2)Record the dispensing of the prescription drug on the patient’s chart;
(3)Allow the Office of Controlled Substances Administration to enter and inspect the nurse practitioner’s office at all reasonable hours; and
(4)Except for starter dosages or samples dispensed without charge, provide the patient with a written prescription, maintain prescription files, and maintain a separate file for Schedule II prescriptions for a period of at least 5 years.
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