<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.32.03.09" title_num="10" subtitle_num="32" chapter_num="03" heading="Prescriptive Authority and Dispensing Starter Dosage or Drug Samples.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>A statement describing whether the physician intends to delegate any of the following:</text>
      <paragraph num="(a)">
        <text>Prescribing of:</text>
        <paragraph num="(i)">
          <text>Controlled dangerous substances;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Prescription drugs; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Medical devices;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Giving verbal, written, or electronic orders for medications;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Dispensing starter dosages or drug samples;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An attestation that all prescribing activities of the physician assistant will comply with applicable federal and State regulations;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An attestation that all medical charts and records will contain a notation of any prescriptions written by a physician assistant;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>An attestation that the physician assistant has:</text>
      <paragraph num="(a)">
        <text>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</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Completed 8 Category I hours of pharmacology education within the previous 2 years; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>An attestation that the physician assistant has at least one of the following:</text>
      <paragraph num="(a)">
        <text>A bachelor's degree or its equivalent; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>2 years of work experience as a physician assistant.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Dispensing of Drug Samples and Starter Dosages of Drugs by Physician Assistant.</text>
    <paragraph num="(1)">
      <text>A drug sample or starter dosage shall meet the following criteria before a physician assistant may dispense the drug sample or starter dosage:</text>
      <paragraph num="(a)">
        <text>Package is labeled as required by Health Occupations Article, §12-505, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>No charge is made for the drug sample or starter dosage.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A physician assistant shall enter an appropriate note in the patient’s medical record.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A physician assistant may not delegate dispensing of drug samples or starter dosages.</text>
    </paragraph>
  </paragraph>
</regulation>