<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".16" citation="COMAR 10.34.03.16" title_num="10" subtitle_num="34" chapter_num="03" heading="Pharmaceutical Care Functions of the Pharmacist.">
  <text>The pharmacist shall be available as necessary to provide pharmaceutical care to individual patients including, but not limited to:</text>
  <paragraph num="A.">
    <text>Participating in decisions about medication use for patients including decisions not to use medication therapy as well as judgments about:</text>
    <paragraph num="(1)">
      <text>Medication selection;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Dosages;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Routes and methods of administration;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Medication therapy monitoring; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The provision of medication-related information and counseling to individual patients;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Cooperating directly with health care professionals and the patient in designing, implementing, and monitoring a therapeutic outcome.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Providing care directly to the patient to improve a patient’s quality of life through achieving definite and predefined, medication-related therapeutic outcomes such as:</text>
    <paragraph num="(1)">
      <text>Curing the disease;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Eliminating or reducing a symptomatology;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Arresting or slowing a disease process;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Preventing a disease or symptomatology; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Improving patient’s quality of life.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Identifying potential and actual medication-related problems, resolving actual medication-related problems, and preventing potential medication-related problems caused by:</text>
    <paragraph num="(1)">
      <text>Untreated indications;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Improper drug selection;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Sub-therapeutic dosage;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Failure to received medication;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Over dosage;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Adverse drug reactions;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Drug interactions, including drug-drug, drug-food, drug-laboratory test interactions; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Medication use without appropriate indication.</text>
    </paragraph>
  </paragraph>
</regulation>