<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.34.07.03" title_num="10" subtitle_num="34" chapter_num="07" heading="Reference Libraries.">
  <paragraph num="A.">
    <text>A pharmacy permit holder shall maintain an adequate reference library to enable it to prepare and dispense prescriptions properly, consistent with its scope of practice.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A pharmacy permit holder shall maintain a library of reference sources appropriate to the type of pharmacy practice at that particular location. A pharmacy permit holder shall include in the pharmacy's library current material regarding the technical, clinical, and professional aspects of practice with emphasis in the area in which the pharmacy specializes.</text>
  </paragraph>
  <paragraph num="B-1.">
    <text>A pharmacy permit holder may utilize websites and electronic references created by established medical publishers which are recognized as standard for a particular type of pharmacy practice as a supplement to its printed library.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A pharmacy permit holder shall maintain a library containing reference sources that:</text>
    <paragraph num="(1)">
      <text>Enable the pharmacist to compound medications in a safe and effective manner;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>List the possible drug interactions and possible adverse effects of medications dispensed by the pharmacy;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>List the therapeutic usage and dosages of medications dispensed by the pharmacy;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>List the therapeutic equivalents for medications; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Provide guidelines for the counseling of patients.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A pharmacy permit holder that specializes in nuclear or parenteral prescriptions may limit the library it maintains pursuant to §B of this regulation to the pharmacy permit holder's area of specialization.</text>
  </paragraph>
  <paragraph num="E.">
    <text>A pharmacy permit holder shall maintain material safety data sheets, if applicable.</text>
  </paragraph>
</regulation>