# Health - General (GHG)

## Title 13. Miscellaneous Health Care Programs

### Subtitle 53. Nonoccupational Postexposure Prophylaxis (Npep) Standing Order Program

#### Section 13-5302

(a) There is a Nonoccupational Postexposure Prophylaxis (nPEP) Standing Order Program.

(b) The Program shall:

  (1) Authorize a pharmacist who is registered with the Program to dispense nPEP through a standing order in accordance with Sec. 13-5203 of this subtitle; and

  (2) Operate in accordance with the procedures approved by the Department with the advice and approval of the Board.

(c) The Department shall adopt regulations:

  (1) Necessary for the administration of the Program; and

  (2) That address the needs of specific populations including victims of sexual assault and pediatric patients.

(d) The Department may:

  (1) Collect fees necessary for the administration of the Program, unless the patient qualifies for nPEP through the Program for Preventing HIV Infection for Rape Victims established under Sec. 11-1008 of the Criminal Procedure Article;

  (2) Administer the Program and establish a standardized set of guidelines for pharmacists participating in the Program to use in developing and conducting patient education and training on nPEP that includes:

    (i) Avoiding exposure to HIV;

    (ii) Responding to exposure to HIV with the appropriate use of nPEP;

    (iii) Access to nPEP and the appropriate follow-up after the administration of nPEP; and

    (iv) Engagement in additional care including:

      (1) Access to pre-exposure prophylaxis (PrEP); and

      (2) Harm reduction programs for patients with continuing risk of exposures; and

  (3) Collect and report data on the operation and results of the Program.

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Md. Code Ann., Health-Gen. (as displayed at mgaleg.maryland.gov, October 16, 2026)