Plain Text Law

Regulation .03 Delegated Pharmacy Acts.

Regulation .03 Delegated Pharmacy Acts.Copy Citation

A.
A pharmacy technician may not:
(1)
Represent themselves as a pharmacist;
(2)
Dispense prescription medications when the pharmacist is not in the pharmacy;
(3)
Be present in the pharmacy when the pharmacist is not physically available onsite;
(4)
Provide information, explanation, or recommendations to patients and health care practitioners about the safe and effective use of prescription or nonprescription drugs or devices;
(5)
Delegate a pharmacy act that was delegated to the pharmacy technician or individual engaging in a Board-approved technician training program;
(6)
Act within the parameters of a therapy management contract as provided under Health Occupations Article, Subtitle 6A, Annotated Code of Maryland;
(7)
Provide the final verification for accuracy, appropriateness, completeness, or validity of a filled prescription or medication order, except as provided for in Regulation .04 under this chapter;
(8)
Make decisions that require a pharmacist's professional judgment;
(9)
Clinically evaluate the patient's profile relative to the pharmaceuticals that have been or will be dispensed;
(10)
Consult with the patient concerning the utilization of their pharmaceuticals;
(11)
Accept or transcribe new prescriptions;
(12)
Give or accept a transferred prescription for controlled dangerous substances;
(13)
Accept a transferred prescription;
(14)
Independently compound prescriptions;
(15)
Administer medications;
(16)
Accept the return of prescription drugs or devices directly from a patient.
(17)
Administer an injectable medication; or
(18)
Except as provided in §B of this regulation, administer a vaccine.
B.
Technician Administration of Certain Vaccines.
(1)
A registered pharmacy technician that meets the requirements set forth in §B(2) and (3) of this regulation, may administer the following vaccines as a delegated pharmacy act:
(a)
Coronavirus (COVID-19), influenza, or pneumococcal pneumonia vaccines to an individual 18 years old or older; or
(b)
Respiratory syncytial virus (RSV) or herpes zoster vaccines to an individual 50 years old or older.
(2)
In order for a registered pharmacy technician to administer a vaccine, the registered pharmacy technician shall submit notification to the Board on a form that the Board requires attesting to the following:
(a)
Successful completion of a practical training program approved by the Accreditation Council for Pharmacy Education (ACPE) that includes:
(i)
Hands-on injection technique;
(ii)
Clinical evaluation of indications and contraindications of vaccines; and
(iii)
Recognition and treatment of emergency reactions to vaccines; and
(b)
Possession of an active certification in basic cardiopulmonary resuscitation (CPR) obtained through in-person classroom instruction.
(3)
A registered pharmacy technician may not administer a vaccine as a delegated pharmacy act until the registered pharmacy technician receives written confirmation from the Board accepting the notification form.
(4)
The delegating supervising pharmacist shall confirm that a registered pharmacy technician has met the requirements set forth in §B(2) and (3) of this regulation before delegating the administration of a vaccine to the registered pharmacy technician.
(5)
A pharmacy technician trainee may not administer a vaccine.
C.
A pharmacy technician shall be clearly identified as such to the public;
D.
When performing tasks in the prescription area, a pharmacy technician shall maintain proper:
(1)
Sanitation;
(2)
Hygiene;
(3)
Biohazard precautions; and
(4)
Infection control.
E.
Off-Site Data Entry.
(1)
Except as provided in §E(2) of this regulation, a registered pharmacy technician shall perform delegated pharmacy acts under the direct supervision of a licensed pharmacist.
(2)
A registered pharmacy technician may perform prescription data entry at a remote location outside of a licensed pharmacy provided that:
(a)
The registered pharmacy technician has immediate electronic access to a supervising pharmacist who can assist as needed;
(b)
The data entry is not required to be performed by a pharmacist;
(c)
The data entry is appropriate to the education, training, and experience of the registered pharmacy technician and supervising pharmacist; and
(d)
If the data entry involves access to protected patient information under the Health Insurance Portability and Accountability Act (HIPAA), it can be performed in a manner that maintains the confidentiality of patient information.