<?xml version='1.0' encoding='utf-8'?>
<section article="gho" article_name="Health Occupations" number="4-206.4" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners">
  <level label="a">
    <level label="1">
      <text>Except as provided in paragraph (2) of this subsection, a dental hygienist who complies with subsections (e) and (f) of this section may prescribe:</text>
      <level label="i">
        <text>Topical and systemic types of prescription or over–the–counter fluoride preparations;</text>
      </level>
      <level label="ii">
        <text>Topical antimicrobial oral rinses; and</text>
      </level>
      <level label="iii">
        <text>Ibuprofen not exceeding 600 mg every 6 hours for up to 3 days after nonsurgical periodontal therapy.</text>
      </level>
    </level>
    <level label="2">
      <text>A dental hygienist may not prescribe a drug:</text>
      <level label="i">
        <text>That is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article or a controlled substance as defined by 21 U.S.C. § 812; or</text>
      </level>
      <level label="ii">
        <text>The prescription of which requires a federal Drug Enforcement Agency registration.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>Except as provided in subsection (c) of this section, a dental hygienist who complies with subsections (e) and (f) of this section may administer medication, including:</text>
    <level label="1">
      <text>A medication listed under subsection (a)(1) of this section;</text>
    </level>
    <level label="2">
      <text>Premedication antibiotics by mouth as required for dental treatment;</text>
    </level>
    <level label="3">
      <text>Subgingival antibiotics and antimicrobials; and</text>
    </level>
    <level label="4">
      <text>Nonopioid pain medication.</text>
    </level>
  </level>
  <level label="c">
    <text>A dental hygienist may not administer a medication:</text>
    <level label="1">
      <text>That is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article or a controlled substance as defined by 21 U.S.C. § 812;</text>
    </level>
    <level label="2">
      <text>The prescription of which requires a federal Drug Enforcement Agency registration; or</text>
    </level>
    <level label="3">
      <text>Except for local anesthesia administered in accordance with § 4–206.1 or § 4–206.3 of this subtitle, that is administered by intramuscular, subcutaneous, intravenous, or intradermal injection.</text>
    </level>
  </level>
  <level label="d">
    <text>A dental hygienist may administer a medication under subsection (b) of this section:</text>
    <level label="1">
      <text>Under a standing order in the patient’s record that is authorized by a supervising dentist; and</text>
    </level>
    <level label="2">
      <text>If the dental hygienist includes the following information in writing in the patient’s record:</text>
      <level label="i">
        <text>The name of the medication;</text>
      </level>
      <level label="ii">
        <text>The date and time the medication was administered;</text>
      </level>
      <level label="iii">
        <text>The route by which the medication was administered; and</text>
      </level>
      <level label="iv">
        <text>The dosage of the medication that was administered.</text>
      </level>
    </level>
  </level>
  <level label="e">
    <text>A dental hygienist prescribing or administering medication as authorized under this section shall prescribe or administer medication:</text>
    <level label="1">
      <text>Under the general supervision of a licensed dentist;</text>
    </level>
    <level label="2">
      <text>In compliance with applicable regulations adopted by the Board; and</text>
    </level>
    <level label="3">
      <text>In compliance with applicable provisions of Title 12 of this article and Title 21 of the Health – General Article regarding prescription packaging, labeling, and record keeping.</text>
    </level>
  </level>
  <level label="f">
    <text>Before prescribing or administering medication as authorized under this section, a dental hygienist shall complete any educational requirements established by the Board under § 4–205(a)(1)(xi) of this subtitle through an accredited dental hygiene program.</text>
  </level>
</section>
