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<section article="gho" article_name="Health Occupations" number="8-508" title_number="8" title_name="Nurses" subtitle_number="5">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Midwife” means a registered nurse certified as a nurse–midwife or a licensed certified midwife.</text>
    </level>
    <level label="3">
      <text>“Nurse practitioner” means a registered nurse who is:</text>
      <level label="i">
        <text>Certified as a nurse practitioner; and</text>
      </level>
      <level label="ii">
        <text>Authorized to prescribe drugs under regulations adopted by the Board.</text>
      </level>
    </level>
    <level label="4">
      <text>“Personally prepare and dispense” means that a nurse practitioner:</text>
      <level label="i">
        <text>Is physically present on the premises where the prescription is filled; and</text>
      </level>
      <level label="ii">
        <text>Performs a final check of the prescription before it is provided to the patient.</text>
      </level>
    </level>
    <level label="5">
      <text>“Starter dosage” means an amount of drug sufficient to begin therapy:</text>
      <level label="i">
        <text>Of short duration of 72 hours or less; or</text>
      </level>
      <level label="ii">
        <text>Prior to obtaining a larger quantity of the drug to complete therapy.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>A nurse practitioner or midwife may personally prepare and dispense a starter dosage of any drug the nurse practitioner or midwife is authorized to prescribe to a patient of the nurse practitioner or midwife if:</text>
    <level label="1">
      <text>The starter dosage complies with the labeling requirements of § 12–505 of this article;</text>
    </level>
    <level label="2">
      <text>No charge is made for the starter dosage; and</text>
    </level>
    <level label="3">
      <text>The nurse practitioner or midwife enters an appropriate record in the patient’s medical record.</text>
    </level>
  </level>
  <level label="c">
    <text>In accordance with the provisions of subsection (d) of this section, a nurse practitioner may personally prepare and dispense any drug that a nurse practitioner may prescribe to the extent permitted by law in the course of treating a patient at:</text>
    <level label="1">
      <text>A medical facility or clinic that specializes in the treatment of medical cases reimbursable through workers’ compensation insurance;</text>
    </level>
    <level label="2">
      <text>A medical facility or clinic that is operated on a nonprofit basis;</text>
    </level>
    <level label="3">
      <text>A health center that operates on a campus of an institution of higher education;</text>
    </level>
    <level label="4">
      <text>A public health facility, a medical facility under contract with a State or local health department, or a facility funded with public funds; or</text>
    </level>
    <level label="5">
      <text>A nonprofit hospital or a nonprofit hospital outpatient facility as authorized under the policies established by the hospital.</text>
    </level>
  </level>
  <level label="d">
    <text>A nurse practitioner who personally prepares and dispenses a drug in the course of treating a patient as authorized under subsection (c) of this section shall:</text>
    <level label="1">
      <text>Comply with the labeling requirements of § 12–505 of this article;</text>
    </level>
    <level label="2">
      <text>Record the dispensing of the prescription drug on the patient’s chart;</text>
    </level>
    <level label="3">
      <text>Allow the Office of Controlled Substances Administration to enter and inspect the nurse practitioner’s office at all reasonable hours; and</text>
    </level>
    <level label="4">
      <text>Except for starter dosages or samples dispensed without charge, provide the patient with a written prescription, maintain prescription files, and maintain a separate file for Schedule II prescriptions for a period of at least 5 years.</text>
    </level>
  </level>
</section>
