# Health Occupations (GHO)

## Title 12. Pharmacists and Pharmacies

### Subtitle 6A. Therapy Management Contracts

#### Section 12-6A-01

(a) In this subtitle the following words have the meanings indicated.

(b) "Authorized prescriber" means a licensed physician, licensed podiatrist, certified midwife licensed under Title 8, Subtitle 6D of this article, or certified advanced practice nurse with prescriptive authority under Sec. 8-508 of this article.

(c) "Group model health maintenance organization" has the meaning stated in Sec. 19-713.6 of the Health - General Article.

(d) "Health maintenance organization" has the meaning stated in Sec. 19-701(g) of the Health - General Article.

(e)

  (1) "Institutional facility" means a facility other than a nursing home whose primary purpose is to provide a physical environment for patients to obtain inpatient or emergency care.

  (2) "Institutional facility" does not include an urgent care facility that is not part of a facility.

(f) "Prescriber-pharmacist agreement" means an agreement between an authorized prescriber and a licensed pharmacist that is disease-state specific and specifies the protocols that may be used.

(g) "Protocol" means a course of treatment predetermined by the authorized prescriber and licensed pharmacist according to generally accepted medical practice for the proper completion of a particular therapeutic or diagnostic intervention.

(h) "Therapy management contract" means a voluntary arrangement that is:

  (1) Disease-state specific;

  (2) Agreed on by:

    (i) One licensed pharmacist and the licensed pharmacist's designated alternate licensed pharmacists;

    (ii) One authorized prescriber and alternate designated authorized prescribers involved directly in patient care; and

    (iii) One patient receiving care from an authorized prescriber and a licensed pharmacist pursuant to a prescriber-pharmacist agreement and protocol under this subtitle; and

  (3) Related to treatment using drug therapy, laboratory tests, or medical devices, under defined conditions or limitations for the purpose of improving patient outcomes.

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