Maryland Code § HO-1-223

Section HO-1-223
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(a) In this section, "controlled dangerous substance" has the meaning stated
in § 5-101 of the Criminal Law Article.
(b) On treatment for pain, a health care provider, based on the clinical
judgment of the health care provider, shall prescribe:
(1) The lowest effective dose of an opioid; and

(2) A quantity that is no greater than the quantity needed for the
expected duration of pain severe enough to require an opioid that is a controlled
dangerous substance unless the opioid is prescribed to treat:
(i) A substance-related disorder;
(ii) Pain associated with a cancer diagnosis;
(iii) Pain experienced while the patient is receiving end-of-life,
hospice, or palliative care services; or
(iv) Chronic pain.
(c) The dosage, quantity, and duration of an opioid prescribed under
subsection (b) of this section shall be based on an evidence-based clinical guideline
for prescribing controlled dangerous substances that is appropriate for:
(1) The health care service delivery setting for the patient;
(2) The type of health care services required by the patient; and
(3) The age and health status of the patient.
(d) (1) When a patient is prescribed an opioid under subsection (b) of this
section, the patient shall be advised of the benefits and risks associated with the
opioid.
(2) When a patient is co-prescribed a benzodiazepine with an opioid
that is prescribed under subsection (b) of this section, the patient shall be advised of
the benefits and risks associated with the benzodiazepine and the co-prescription of
the benzodiazepine.
(e) A violation of subsection (b) or (d) of this section is grounds for
disciplinary action by the health occupations board that regulates the health care
provider who commits the violation.

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