Maryland Code § HO-8-512

Section HO-8-512
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(a) (1) In this section the following words have the meanings indicated.
(2) "Authorized prescriber" means a licensed registered nurse,
licensed dentist, licensed physician, licensed physician's assistant, licensed
podiatrist, or other individual authorized by law to prescribe prescription or
nonprescription drugs or devices.
(3) (i) "Device" means an item used in the diagnosis, treatment,
or prevention of disease.
(ii) "Device" does not include:
1. Surgical or dental instruments;

2. Physical therapy equipment;
3. X-ray apparatuses; or
4. Component parts of or accessories for any of the
items described in items 1 through 3 of this subparagraph.
(4) (i) "Dispense" means a procedure that results in the receipt of
a drug or device by a patient or a patient's agent.
(ii) "Dispense" includes:
1. Interpreting an authorized prescriber's prescription
for a drug or device;
2. Selecting and labeling the drug or device prescribed;
3. Measuring and packaging the drug or device in
accordance with State and federal law; and
4. Documenting the transaction in the patient's
medical record.
(5) "Drug" means, unless the context requires otherwise, a
prescription or nonprescription drug.
(6) "Formulary" means a list of drugs and devices.
(7) "Nonprescription drug or device" means a drug or device that:
(i) May be sold without a prescription; and
(ii) Is labeled for use by a consumer in accordance with State
and federal law.
(8) "Personally prepare and dispense" means to:
(i) Physically prepare a prescription;
(ii) Perform a final check of the prescription before dispensing
it to a patient; and
(iii) Not delegate any step of the dispensing process.

(9) "Prescription drug" means a drug that, under § 21-220 of the
Health - General Article, may be dispensed only on the prescription of an authorized
prescriber.
(b) If a registered nurse complies with the requirements of this section, the
registered nurse may personally prepare and dispense drugs and devices or provide,
without a prescription, nonprescription drugs and devices in a local health
department:
(1) In accordance with the Overdose Response Program under Title
13, Subtitle 31 of the Health - General Article or the Expedited Partner Therapy Pilot
Program under § 18-214.1 of the Health - General Article; or
(2) To patients in need of communicable disease, alcohol and drug
abuse, family planning, or reproductive health services.
(c) A registered nurse may personally prepare and dispense drugs and
devices or provide, without a prescription, nonprescription drugs and devices if the
registered nurse:
(1) Complies with the formulary developed and approved under § 3-
403(b) of the Health - General Article;
(2) Has successfully completed a training program administered by
the Department in accordance with § 3-405 of the Health - General Article;
(3) Maintains the patient's health record in a manner that ensures
the confidentiality of the patient's drug and device medication record in accordance
with State and federal laws;
(4) Complies with drug and device storage and inventory procedures
in accordance with Department policy; and
(5) For a prescription drug or device, has received a prescription from
an authorized prescriber employed at a local health department.

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