<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 10.34.10.01" title_num="10" subtitle_num="34" chapter_num="10" heading="Patient Safety and Welfare.">
  <paragraph num="A.">
    <text>A pharmacist shall:</text>
    <paragraph num="(1)">
      <text>Abide by all federal and State laws relating to the practice of pharmacy and the dispensing, distribution, storage, and labeling of drugs and devices, including but not limited to:</text>
      <paragraph num="(a)">
        <text>United States Code, Title 21,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Health-General Article, Titles 21 and 22, Annotated Code of Maryland,</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Health Occupations Article, Title 12, Annotated Code of Maryland,</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Criminal Law Article, Title 5, Annotated Code of Maryland, and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>COMAR 10.19.03;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Verify the accuracy of the prescription before dispensing the drug or device if the pharmacist has reason to believe that the prescription contains an error; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Maintain proper sanitation, hygiene, biohazard precautions, and infection control when performing tasks in the prescription process.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A pharmacist may not:</text>
    <paragraph num="(1)">
      <text>Engage in conduct which departs from the standard of care ordinarily exercised by a pharmacist;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Practice pharmacy under circumstances or conditions which prevent the proper exercise of professional judgment; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Engage in unprofessional conduct.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Therapeutic Interchange.</text>
    <paragraph num="(1)">
      <text>A pharmacist may not perform a therapeutic interchange without the prior approval of the authorized prescriber except as provided in §C(2) of this regulation.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A pharmacist who provides a pharmacy service to a patient of a hospital, as defined in Health-General Article, §19-301, Annotated Code of Maryland, or a resident of a comprehensive care or extended care facility, as defined in COMAR 10.07.02.01B, may perform a therapeutic interchange without the prior approval of the authorized prescriber if the governing body of the hospital, comprehensive care facility, or extended care facility has established procedures for therapeutic interchange.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>This section does not permit any act not otherwise authorized by Health Occupations Article, Title 12, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
</regulation>