<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 10.34.31.01" title_num="10" subtitle_num="34" chapter_num="31" heading="Settings.">
  <paragraph num="A.">
    <text>If a setting otherwise complies with State and federal laws, a pharmacist may request Board approval to dispense or distribute at a setting that does not possess a pharmacy permit if:</text>
    <paragraph num="(1)">
      <text>The dispensing or distribution occurs while the pharmacist is providing drug therapy management services in:</text>
      <paragraph num="(a)">
        <text>The office of a licensed physician;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A clinic; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A medical facility; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The setting is:</text>
      <paragraph num="(a)">
        <text>Operated or funded by a public health authority of the State;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A medical facility or clinic that is operated on a nonprofit basis and is not otherwise required to possess a pharmacy permit; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A health center that operates on a campus of an institution of higher education.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>If the drug therapy management services referred to in §A(1)(a) of this regulation include the dispensing or distribution of controlled dangerous substances, the request may be approved by the Board if the physician possesses a dispensing permit issued by the Board of Physicians.</text>
  </paragraph>
  <paragraph num="C.">
    <text>If a pharmacist seeks to obtain Board approval to dispense or distribute at a setting that is not set forth in §A of this regulation, the pharmacist shall apply to the Board for a waiver permit under COMAR 10.34.17.</text>
  </paragraph>
</regulation>