# Health Occupations (GHO)

## Title 12. Pharmacists and Pharmacies

### Subtitle 6A. Therapy Management Contracts

#### Section 12-6A-06

(a) A protocol under this subtitle:

  (1) May authorize:

    (i) For protocols by a licensed physician and licensed pharmacist, the initiation of drug therapy under written, disease-state specific protocols;

    (ii) The modification, continuation, and discontinuation of drug therapy under written, disease-state specific protocols;

    (iii) The ordering of laboratory tests; and

    (iv) Other patient care management measures related to monitoring or improving the outcomes of drug or device therapy; and

  (2) May not authorize acts that exceed the scope of practice of the parties to the therapy management contract.

(b) A protocol shall prohibit the substitution of a chemically dissimilar drug product by the pharmacist for the product prescribed by the authorized prescriber, unless permitted in the therapy management contract.

(c) A protocol that authorizes controlled dangerous substances drug therapy shall require the pharmacist to request relevant data from the Prescription Drug Monitoring Program before initiating or modifying a controlled dangerous substances drug therapy.

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