Maine Code § 32-13786-D

Prescribing and dispensing insulin
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1. Definitions. As used in this section, unless the context otherwise indicates, the following terms
have the following meanings.
A. "Insulin" includes various types of insulin analogs and insulin-like medications, regardless of
activation period or whether the solution is mixed before or after dispensation. [PL 2019, c. 666,
Pt. B, §1 (NEW).]
B. "Insulin-related devices and supplies" means needles, syringes, cartridge systems, prefilled pen
systems, glucose meters and test strips. "Insulin-related devices and supplies" does not include
insulin pump devices. [PL 2019, c. 666, Pt. B, §1 (NEW).]
[PL 2019, c. 666, Pt. B, §1 (NEW).]
2. Authorization. As authorized by the board in accordance with rules adopted under subsection
3, a pharmacist may dispense emergency refills of insulin and associated insulin-related devices and
supplies by prescription drug order or standing order or pursuant to a collaborative practice agreement
authorizing insulin to be dispensed. The insulin dispensed under this subsection must be in a quantity
that is at least a 30-day supply unless the intended recipient requests a lesser quantity upon consultation
with the pharmacist. The intended recipient shall provide evidence of a previous prescription from a
practitioner and attest that a refill of that previous prescription may not be readily or easily obtained
under the circumstances. Upon receiving evidence of a previous prescription from a practitioner, the
pharmacist shall immediately notify that practitioner that an emergency refill of insulin was dispensed
and instruct the recipient to seek follow-up care from the practitioner as soon as possible.
[PL 2021, c. 20, §1 (AMD).]
3. Rules; protocols. The board by rule shall establish standards for authorizing pharmacists to
dispense insulin in accordance with subsection 2, including protocols for notifying practitioners when

emergency refills of insulin are dispensed. Rules adopted under this subsection are routine technical
rules as defined in Title 5, chapter 375, subchapter 2-A.
[PL 2021, c. 20, §2 (AMD).]

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