<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.18.06.09" title_num="10" subtitle_num="18" chapter_num="06" heading="Cause for Suspension or Removal and Imposition of Sanctions.">
  <paragraph num="A.">
    <text>If the Department determines that a pharmacy or the pharmacy’s employee, or both, has failed to comply with federal or State laws and regulations, the Department may:</text>
    <paragraph num="(1)">
      <text>Suspend the pharmacy from MADAP;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Withhold payment to the pharmacy; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Both.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Removal of a pharmacy or a pharmacy’s employee from Medical Assistance shall result in removal from MADAP.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The Department:</text>
    <paragraph num="(1)">
      <text>May consult with the State Board of Pharmacy regarding the actions of a pharmacy, such as:</text>
      <paragraph num="(a)">
        <text>A breach of confidentiality;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Refusal of service; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Discrimination; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall consider the findings and recommendations of the State Board of Pharmacy when deciding on the imposition of a sanction as stated in §A of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The Department shall give the pharmacy written notice of the Department’s intention to impose sanctions referred to in §A of this regulation, including:</text>
    <paragraph num="(1)">
      <text>The effective date of the proposed action;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The reason for the proposed action; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The pharmacy’s right to appeal the proposed action.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A pharmacy voluntarily withdrawing from MADAP or removed or suspended from MADAP according to this regulation shall notify a recipient that the pharmacy is no longer a MADAP pharmacy.</text>
  </paragraph>
</regulation>