(a) (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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