A pharmacy technician may not: Represent themselves as a pharmacist; Dispense prescription medications when the pharmacist is not in the pharmacy; Be present in the pharmacy when the pharmacist is not physically available onsite; Provide information, explanation, or recommendations to patients and health care practitioners about the safe and effective use of prescription or nonprescription drugs or devices; Delegate a pharmacy act that was delegated to the pharmacy technician or individual engaging in a Board-approved technician training program; Act within the parameters of a therapy management contract as provided under Health Occupations Article, Subtitle 6A, Annotated Code of Maryland; 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; Make decisions that require a pharmacist's professional judgment; Clinically evaluate the patient's profile relative to the pharmaceuticals that have been or will be dispensed; Consult with the patient concerning the utilization of their pharmaceuticals; Accept or transcribe new prescriptions; Give or accept a transferred prescription for controlled dangerous substances; Accept a transferred prescription; Independently compound prescriptions; Administer medications; Accept the return of prescription drugs or devices directly from a patient. Administer an injectable medication; or Except as provided in §B of this regulation, administer a vaccine. Technician Administration of Certain Vaccines. 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: Coronavirus (COVID-19), influenza, or pneumococcal pneumonia vaccines to an individual 18 years old or older; or Respiratory syncytial virus (RSV) or herpes zoster vaccines to an individual 50 years old or older. 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: Successful completion of a practical training program approved by the Accreditation Council for Pharmacy Education (ACPE) that includes: Hands-on injection technique; Clinical evaluation of indications and contraindications of vaccines; and Recognition and treatment of emergency reactions to vaccines; and Possession of an active certification in basic cardiopulmonary resuscitation (CPR) obtained through in-person classroom instruction. 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. 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. A pharmacy technician trainee may not administer a vaccine. A pharmacy technician shall be clearly identified as such to the public; When performing tasks in the prescription area, a pharmacy technician shall maintain proper: Sanitation; Hygiene; Biohazard precautions; and Infection control. Off-Site Data Entry. 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. A registered pharmacy technician may perform prescription data entry at a remote location outside of a licensed pharmacy provided that: The registered pharmacy technician has immediate electronic access to a supervising pharmacist who can assist as needed; The data entry is not required to be performed by a pharmacist; The data entry is appropriate to the education, training, and experience of the registered pharmacy technician and supervising pharmacist; and 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.