<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".15" citation="COMAR 10.07.21.15" title_num="10" subtitle_num="07" chapter_num="21" heading="Ancillary Services.">
  <paragraph num="A.">
    <text>The hospice care program shall have a written plan for the provision of pharmacy, laboratory, radiology, chemotherapy, and other ancillary services. When the service is provided by an organization other than the hospice care program, the hospice care program shall enter into a written agreement with the provider of ancillary services which specifies the services being provided and the procedures for accessing those services.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The hospice care program shall ensure that ancillary services are provided in accordance with federal and State laws and regulations.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Pharmacy Services.</text>
    <paragraph num="(1)">
      <text>The hospice care program shall employ or contract with a licensed pharmacist to:</text>
      <paragraph num="(a)">
        <text>Supervise all pharmacy services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Serve as a consultant to the interdisciplinary care team; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Ensure that all drugs and biologicals are prescribed, dispensed, administered, stored, and disposed of in accordance with applicable laws and regulations.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The hospice care program shall have a system to obtain and provide drugs on an emergency basis, 24 hours per day, 7 days a week.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The hospice care program shall maintain a drug profile for each patient and conduct periodic drug reviews and monitoring of each patient.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The hospice care program shall ensure that the interdisciplinary care team and the patient and the patient's family are made aware of each medication prescribed for the patient and are given any instructions concerning the administration of prescribed medications.</text>
    </paragraph>
  </paragraph>
</regulation>