Plain Text Law

Regulation .09 Prescriptive Authority and Dispensing Starter Dosage or Drug Samples.

Regulation .09 Prescriptive Authority and Dispensing Starter Dosage or Drug Samples.Copy Citation

A.
In order for a patient care team physician to delegate prescriptive authority, the [primary supervising] patient care team physician shall ensure that the collaboration agreement includes:
(1)
A statement describing whether the physician intends to delegate any of the following:
(a)
Prescribing of:
(i)
Controlled dangerous substances;
(ii)
Prescription drugs; or
(iii)
Medical devices;
(b)
Giving verbal, written, or electronic orders for medications;
(c)
Dispensing starter dosages or drug samples;
(2)
An attestation that all prescribing activities of the physician assistant will comply with applicable federal and State regulations;
(3)
An attestation that all medical charts and records will contain a notation of any prescriptions written by a physician assistant;
(4)
An attestation that all prescriptions dispensed include the physician assistant's name and the patient care team physician’s name, business address, and business telephone number legibly written or printed;
(5)
An attestation that the physician assistant has:
(a)
Passed the physician assistant national certification exam administered by the National Commission on the Certification of Physician Assistants, Inc. within the previous 2 years; or
(b)
Completed 8 Category I hours of pharmacology education within the previous 2 years; and
(6)
An attestation that the physician assistant has at least one of the following:
(a)
A bachelor's degree or its equivalent; or
(b)
2 years of work experience as a physician assistant.
B.
Dispensing of Drug Samples and Starter Dosages of Drugs by Physician Assistant.
(1)
A drug sample or starter dosage shall meet the following criteria before a physician assistant may dispense the drug sample or starter dosage:
(a)
Package is labeled as required by Health Occupations Article, §12-505, Annotated Code of Maryland; and
(b)
No charge is made for the drug sample or starter dosage.
(2)
A physician assistant shall enter an appropriate note in the patient’s medical record.
(3)
A physician assistant may not delegate dispensing of drug samples or starter dosages.