<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.34.25.03" title_num="10" subtitle_num="34" chapter_num="25" heading="Requirements for Packaging and Delivery of Prescription Medication.">
  <paragraph num="A.">
    <text>Packaging. Prescription medications delivered under this chapter to individuals in the State shall be:</text>
    <paragraph num="(1)">
      <text>Enclosed in a container that reveals to the patient any tampering of the container that occurred during delivery or storage;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Packaged in a shipping container in a manner that does not indicate that the contents are medications;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Packaged in a manner that indicates:</text>
      <paragraph num="(a)">
        <text>The name and address of the patient or authorized agent; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Any special storage conditions or requirements; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Packaged to contain:</text>
      <paragraph num="(a)">
        <text>Written information regarding the prescription drug or device which is considered significant in the professional judgment of the pharmacist;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A local or toll-free telephone number for the pharmacy; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Notification to the patient if the appearance of the patient’s medication has changed from the patient’s last refill.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Delivery.</text>
    <paragraph num="(1)">
      <text>Location.</text>
      <paragraph num="(a)">
        <text>A prescription medication may be delivered to the patient for whom the prescription is prescribed, wherever the patient is located.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Instead of delivering medication directly to the patient under §B(1)(a) of this regulation, medication may be delivered to:</text>
        <paragraph num="(i)">
          <text>An agent authorized by the patient; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The residence of the patient, regardless of whether the patient is present at the residence at the time of delivery.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The pharmacy permit holder shall:</text>
      <paragraph num="(a)">
        <text>Enclose information to inform the patient if the patient’s prescription is a temperature sensitive medication that is at risk for damage due to extreme hot or cold temperatures or moisture:</text>
        <paragraph num="(i)">
          <text>During shipment; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>After delivery to the patient’s mailbox or other designated location; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Inform the patient within 24 hours of being notified of the delay if the scheduled delivery of the patient’s prescription will be interrupted or late.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>