<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.34.23.02" title_num="10" subtitle_num="34" chapter_num="23" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Chart order” means a lawful order entered on the chart or a medical record of a patient of a comprehensive care facility by an authorized prescriber or the authorized prescriber’s designated agent for a drug or device.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Comprehensive Care Facility.</text>
      <paragraph num="(a)">
        <text>“Comprehensive care facility” means a facility which admits patients suffering from disease, disabilities, or advanced age, requiring medical service and nursing service rendered by or under the supervision of a registered nurse.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Comprehensive care facility” does not mean an establishment which provides only:</text>
        <paragraph num="(i)">
          <text>Acute care; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Assisted living care.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>“Emergency drug kit” means a container or electronic storage system containing medications which:</text>
      <paragraph num="(a)">
        <text>May be required for the emergency need of a patient; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Are not available from an authorized source in a timely manner.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>“Interim box” means a container or an electronic system holding minimal quantities of medications:</text>
      <paragraph num="(a)">
        <text>Agreed upon by the comprehensive care facility’s pharmaceutical services committee, as defined in COMAR 10.07.02.15; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Intended to expedite immediate initiation of emergency or nonemergency dosing until the pharmacy is able to provide a regular supply.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Licensed pharmacist” means a pharmacist who is licensed by the Board to practice pharmacy.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Packaging” means the process by which a medication is:</text>
      <paragraph num="(a)">
        <text>Removed from a:</text>
        <paragraph num="(i)">
          <text>Non-patient specific manufacturer’s original container; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Patient specific container directly received from another pharmacy licensed in Maryland or operated by the government of the United States provided that the manufacturer’s name is present on the container; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Placed into a new container by a licensed pharmacist or registered pharmacy technician under the supervision of a pharmacist.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Pharmaceutical services” means the care within practice standards, laws, regulations, and guidelines which is afforded by a licensed pharmacist to the patients of a comprehensive care facility.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Pharmacy” means a holder of a pharmacy permit issued by the Board, located either on the premises of or outside the comprehensive care facility and which provides pharmaceutical services to patients in a comprehensive care facility.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Pharmacy area” means that portion of the licensed pharmacy where medication and other products requiring a prescription by federal or State law are stored and where the prescriptions are compounded or prepared.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Registered pharmacy technician” means an individual who is registered with the Board to perform delegated pharmacy acts.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Verbal order” means a directive that is orally communicated to a licensed pharmacist to accept a prescription order by a person who is authorized to communicate a prescription.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Written order” means a directive that is directly written by an authorized prescriber or a transcription of an order from an authorized prescriber by a person authorized to transcribe an order.</text>
    </paragraph>
  </paragraph>
</regulation>