# COMAR Title 10 — Maryland Department of Health

## Subtitle 34 — Board of Pharmacy

### Chapter 33 — Prescription Drug Repository Program

#### Regulation .04 Donation Program — Donor Form.

*COMAR 10.34.33.04*

A. A donor of a prescription drug or medical supply shall sign a form containing the following statements:

  (1) That the donor is the owner or the owner's representative of the prescription drug or medical supply; and

  (2) That the donor intends to voluntarily donate the prescription drug or medical supply to the Program.

B. The drop-off site shall:

  (1) Require that the donor form contain:

    (a) The signature of the donor or the donor's representative;

    (b) Contact information of the donor or the donor's representative; and

    (c) The date of donation;

  (2) Require that the donor form be completed before any donation;

  (3) Provide a copy of the donor form to the donor or the donor's representative; and

  (4) Maintain a copy of the donor form for 5 years.