<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.27.07.07" title_num="10" subtitle_num="27" chapter_num="07" heading="Preparing and Dispensing.">
  <paragraph num="A.">
    <text>A nurse practitioner may personally prepare and dispense any drug that a nurse practitioner is authorized to prescribe in the course of treating a patient at:</text>
    <paragraph num="(1)">
      <text>A medical facility or clinic that specializes in the treatment of medical cases reimbursable through workers' compensation insurance;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A medical facility or clinic that is operated on a nonprofit basis;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A health center that operates on a campus of an institution of higher education;</text>
    </paragraph>
    <paragraph num="(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>
    </paragraph>
    <paragraph num="(5)">
      <text>A nonprofit hospital or a nonprofit hospital out-patient facility as authorized under the policies established by the hospital.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A nurse practitioner who personally prepares and dispenses a drug in the course of treating a patient shall:</text>
    <paragraph num="(1)">
      <text>Comply with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Record the dispensing of the prescription drug on the patient's chart;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Allow the Division of Drug Control to enter and inspect the nurse practitioner's office at all reasonable hours;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Except for starter dosages or samples dispensed without charge, provide the patient with a written prescription; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Stamp all Schedule III, IV, and V prescriptions with the letter “C” in red ink, not less than 1 inch high in the lower right hand corner.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A nurse practitioner shall:</text>
    <paragraph num="(1)">
      <text>Maintain two separate files, one for Schedule II prescriptions and another file for all other prescriptions; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain all prescription files for 7 years.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A nurse practitioner may personally prepare and dispense a starter dosage of any drug the nurse practitioner is authorized to prescribe. The nurse practitioner shall:</text>
    <paragraph num="(1)">
      <text>Label the starter dosage in compliance with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide the starter dose free of charge; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Enter the starter dose dispensed in the patient's medical record.</text>
    </paragraph>
  </paragraph>
</regulation>