Maryland Code § HO-12-509

Section HO-12-509
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(a) In addition to the authority granted to a pharmacist under § 12-508 of
this subtitle, a pharmacist, in accordance with regulations adopted by the Board, may
administer:
(1) A self-administered drug to a patient that is prescribed by an
authorized prescriber; and
(2) Subject to subsection (b) of this section, a maintenance injectable
medication or an injectable medication for treatment of a sexually transmitted
infection that is not a biological product to a patient:
(i) That is prescribed by an authorized prescriber;
(ii) In accordance with a standing order issued by an
authorized public health official; or
(iii) In accordance with a protocol under Subtitle 6A of this
title.
(b) A pharmacist may not administer an initial dose of a maintenance
injectable medication product or an injectable medication for treatment of a sexually
transmitted infection under subsection (a)(2) of this section unless the pharmacist
receives written approval from the prescriber.
(c) (1) On or before September 1, 2021, the Board, in consultation with
the State Board of Physicians and the State Board of Nursing, shall adopt regulations
establishing standard procedures:

(i) For notifying a patient about payment for services before
the pharmacist administers a maintenance injectable medication or an injectable
medication for treatment of a sexually transmitted infection;
(ii) That a pharmacist must use to administer:
1. A maintenance injectable medication after an initial
dose is administered by the prescriber; or
2. An injectable medication for treatment of a sexually
transmitted infection;
(iii) That a pharmacist must use to administer an initial dose
of a maintenance injectable medication or an injectable medication for treatment of
a sexually transmitted infection if the administration of the initial dose is authorized
under subsection (b) of this section; and
(iv) For communicating to the prescriber whether a medication
was administered to a specific patient and relevant information about the patient's
condition.
(2) The regulations shall require a pharmacist to:
(i) Except as provided in paragraph (3) of this subsection,
complete a training program approved by the Board for:
1. Administering maintenance injectable medications
and injectable medications for treatment of a sexually transmitted infection; and
2. Managing the populations the pharmacist serves,
the medications being administered, and the current guidelines relating to these
populations and medications;
(ii) Follow the standard procedures established by the Board;
and
(iii) After administering a maintenance injectable medication
or an injectable medication for treatment of a sexually transmitted infection:
1. Notify the prescriber that the maintenance
injectable medication or injectable medication for treatment of a sexually transmitted
infection was administered and of any relevant details about the patient's condition;

2. Provide the patient with a written record of the
maintenance injectable medication or injectable medication for treatment of a
sexually transmitted infection administered;
3. Record in any electronic or written health record on
the patient maintained by the pharmacist:
A. The administering of the maintenance injectable
medication or injectable medication for treatment of a sexually transmitted infection;
and
B. Any pertinent details about the patient's condition;
and
4. Notify the patient of the need to attend any
upcoming appointments the patient has scheduled with the prescriber.
(3) The regulations shall waive the requirement to complete a
training program for a pharmacist who already has undergone the training as part of
the pharmacist's formal educational program.

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