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<section article="gho" article_name="Health Occupations" number="12-506" title_number="12" title_name="Pharmacists and Pharmacies" subtitle_number="5" subtitle_name="Practice of Pharmacy and Operation of Pharmacies">
  <level label="a">
    <text>A pharmacist may refill a prescription for a drug or device for which the refill has not been authorized if:</text>
    <level label="1">
      <text>The pharmacist:</text>
      <level label="i">
        <text>Attempts to obtain an authorization from the authorized prescriber; and</text>
      </level>
      <level label="ii">
        <text>Is not able readily to obtain the authorization;</text>
      </level>
    </level>
    <level label="2">
      <text>The refill of the prescription is not for a controlled dangerous substance;</text>
    </level>
    <level label="3">
      <text>The drug or device is essential to the maintenance of life;</text>
    </level>
    <level label="4">
      <level label="i">
        <text>The drug or device is essential to the continuation of therapy in chronic conditions; and</text>
      </level>
      <level label="ii">
        <text>In the pharmacist’s professional judgment, the interruption of the therapy reasonably might produce an undesirable health consequence, be detrimental to the patient’s welfare, or cause physical or mental discomfort;</text>
      </level>
    </level>
    <level label="5">
      <text>The pharmacist:</text>
      <level label="i">
        <text>Enters on the back of the prescription or on another appropriate uniformly maintained, readily retrievable record, such as a medication record, the date and the quantity of the drug or device dispensed; and</text>
      </level>
      <level label="ii">
        <text>Signs or initials the record; and</text>
      </level>
    </level>
    <level label="6">
      <text>The pharmacist notifies the authorized prescriber of the refill of the prescription within 72 hours of dispensing the drug or device.</text>
    </level>
  </level>
  <level label="b">
    <text>If a pharmacist refills a prescription under subsection (a) of this section, the pharmacist may provide only 1 refill of the prescription and the refill quantity dispensed shall be in conformity with the prescriber’s directions for use and may not exceed a 14-day supply or unit of use.</text>
  </level>
  <level label="c">
    <text>If the federal or a state government declares a state of emergency, a pharmacist working in Maryland may refill a prescription for a drug for which the refill has not been authorized if:</text>
    <level label="1">
      <text>As a result of the emergency, the pharmacist is unable to obtain an authorization from the authorized prescriber;</text>
    </level>
    <level label="2">
      <text>The refill of the prescription is not for a controlled dangerous substance;</text>
    </level>
    <level label="3">
      <text>The quantity dispensed does not exceed a 30–day supply or unit of use; and</text>
    </level>
    <level label="4">
      <text>The pharmacist notifies the authorized prescriber of the refill of the prescription within 7 days of dispensing the drug.</text>
    </level>
  </level>
</section>
