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<section article="gho" article_name="Health Occupations" number="12-509" title_number="12" title_name="Pharmacists and Pharmacies" subtitle_number="5" subtitle_name="Practice of Pharmacy and Operation of Pharmacies">
  <level label="a">
    <text>In addition to the authority granted to a pharmacist under § 12–508 of this subtitle, a pharmacist, in accordance with regulations adopted by the Board, may administer:</text>
    <level label="1">
      <text>A self–administered drug to a patient that is prescribed by an authorized prescriber; and</text>
    </level>
    <level label="2">
      <text>Subject to subsection (b) of this section, a maintenance injectable medication or an injectable medication for treatment of a sexually transmitted infection that is not a biological product to a patient:</text>
      <level label="i">
        <text>That is prescribed by an authorized prescriber;</text>
      </level>
      <level label="ii">
        <text>In accordance with a standing order issued by an authorized public health official; or</text>
      </level>
      <level label="iii">
        <text>In accordance with a protocol under Subtitle 6A of this title.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>A pharmacist may not administer an initial dose of a maintenance injectable medication product or an injectable medication for treatment of a sexually transmitted infection under subsection (a)(2) of this section unless the pharmacist receives written approval from the prescriber.</text>
  </level>
  <level label="c">
    <level label="1">
      <text>On or before September 1, 2021, the Board, in consultation with the State Board of Physicians and the State Board of Nursing, shall adopt regulations establishing standard procedures:</text>
      <level label="i">
        <text>For notifying a patient about payment for services before the pharmacist administers a maintenance injectable medication or an injectable medication for treatment of a sexually transmitted infection;</text>
      </level>
      <level label="ii">
        <text>That a pharmacist must use to administer:</text>
        <level label="1">
          <text>A maintenance injectable medication after an initial dose is administered by the prescriber; or</text>
        </level>
        <level label="2">
          <text>An injectable medication for treatment of a sexually transmitted infection;</text>
        </level>
      </level>
      <level label="iii">
        <text>That a pharmacist must use to administer an initial dose of a maintenance injectable medication or an injectable medication for treatment of a sexually transmitted infection if the administration of the initial dose is authorized under subsection (b) of this section; and</text>
      </level>
      <level label="iv">
        <text>For communicating to the prescriber whether a medication was administered to a specific patient and relevant information about the patient’s condition.</text>
      </level>
    </level>
    <level label="2">
      <text>The regulations shall require a pharmacist to:</text>
      <level label="i">
        <text>Except as provided in paragraph (3) of this subsection, complete a training program approved by the Board for:</text>
        <level label="1">
          <text>Administering maintenance injectable medications and injectable medications for treatment of a sexually transmitted infection; and</text>
        </level>
        <level label="2">
          <text>Managing the populations the pharmacist serves, the medications being administered, and the current guidelines relating to these populations and medications;</text>
        </level>
      </level>
      <level label="ii">
        <text>Follow the standard procedures established by the Board; and</text>
      </level>
      <level label="iii">
        <text>After administering a maintenance injectable medication or an injectable medication for treatment of a sexually transmitted infection:</text>
        <level label="1">
          <text>Notify the prescriber that the maintenance injectable medication or injectable medication for treatment of a sexually transmitted infection was administered and of any relevant details about the patient’s condition;</text>
        </level>
        <level label="2">
          <text>Provide the patient with a written record of the maintenance injectable medication or injectable medication for treatment of a sexually transmitted infection administered;</text>
        </level>
        <level label="3">
          <text>Record in any electronic or written health record on the patient maintained by the pharmacist:</text>
        </level>
        <level label="A">
          <text>The administering of the maintenance injectable medication or injectable medication for treatment of a sexually transmitted infection; and</text>
        </level>
        <level label="B">
          <text>Any pertinent details about the patient’s condition; and</text>
        </level>
        <level label="4">
          <text>Notify the patient of the need to attend any upcoming appointments the patient has scheduled with the prescriber.</text>
        </level>
      </level>
    </level>
    <level label="3">
      <text>The regulations shall waive the requirement to complete a training program for a pharmacist who already has undergone the training as part of the pharmacist’s formal educational program.</text>
    </level>
  </level>
</section>
