(a) (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.
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