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<section article="ghg" article_name="Health - General" number="13-5303" title_number="13" title_name="Miscellaneous Health Care Programs" subtitle_number="53" subtitle_name="Nonoccupational Postexposure Prophylaxis (Npep) Standing Order Program">
  <level label="a">
    <text>At the time of dispensing nPEP, a pharmacist registered with the Program shall:</text>
    <level label="1">
      <text>Screen the patient to determine that HIV exposure occurred within 72 hours before the dispensing;</text>
    </level>
    <level label="2">
      <text>Determine whether the patient meets clinical criteria consistent with the most recent CDC Guidelines, including:</text>
      <level label="i">
        <text>The identification of any contraindicated medications; and</text>
      </level>
      <level label="ii">
        <text>If applicable, exposure as the result of an alleged rape or sexual offense or alleged child sexual abuse;</text>
      </level>
    </level>
    <level label="3">
      <text>Subject to subsection (b) of this section, determine whether an available standing order is appropriate for the patient and dispense nPEP in accordance with the most recent CDC Guidelines;</text>
    </level>
    <level label="4">
      <text>Refer the patient to a disease intervention specialist within the Department for ongoing treatment; and</text>
    </level>
    <level label="5">
      <text>Determine whether the patient has a primary care provider and:</text>
      <level label="i">
        <text>If the patient has a primary care provider, notify the provider that the patient was dispensed nPEP; or</text>
      </level>
      <level label="ii">
        <text>If the patient does not have a primary care provider, provide the patient with a list of local primary care providers and clinics provided by the Department.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>If an available standing order is not appropriate for the patient, the pharmacist shall refer the patient to a primary care provider.</text>
  </level>
  <level label="c">
    <text>A pharmacist may dispense nPEP in accordance with a therapy management contract under Title 12, Subtitle 6A of the Health Occupations Article.</text>
  </level>
</section>
