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<regulation prefix="Regulation" num=".02" citation="COMAR 10.34.36.02" title_num="10" subtitle_num="34" chapter_num="36" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>Assisted Living Program.</text>
      <paragraph num="(a)">
        <text>“Assisted living program” means a residential or facility-based program that provides housing and supportive services, supervision, personalized assistance, health-related services, or a combination of these services 24 hours a day, 7 days a week, to meet the needs of individuals who are unable to perform, or who need assistance in performing, the activities of daily living or instrumental activities of daily living, in a way that promotes optimum dignity and independence for the individuals.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Assisted living program” does not include:</text>
        <paragraph num="(i)">
          <text>A nursing home or comprehensive care facility, as defined under Health-General Article, §19-301, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A State facility, as defined under Health-General Article, §10-101, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A program licensed or approved by the Department under Health-General Article, Title 7 or Title 10, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>A hospice care program licensed by the Department under Health-General Article, Title 19, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Services provided by family members;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Services provided by a licensed residential service agency or licensed home health agency in an individual's own home; or</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>A Certified Adult Residential Environment Program that is certified by the Department of Human Services under Article 88A, §140, Annotated Code of Maryland.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Chart order” means a lawful order entered on the chart or a medical record of a resident of an assisted living program or group home by an authorized prescriber or the authorized prescriber’s designated agent for a drug or device.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Group home” means a residence owned, leased, or operated by a licensed group home provider that:</text>
      <paragraph num="(a)">
        <text>Provides residential services for individuals who, because of a developmental disability, require specialized living arrangements;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Admits at least two, but not more than eight individuals; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Provides 10 or more hours of supervision per week.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>“Interim box” means a tamper evident container or an electronic system holding minimal quantities of medications:</text>
      <paragraph num="(a)">
        <text>Agreed upon by the appropriate committee of the assisted living program; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Intended to expedite immediate initiation of emergency or nonemergency dosing until the pharmacy is able to provide a regular supply.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Licensed pharmacist” means a pharmacist who is licensed by the Board to practice pharmacy.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Packaging” means the process by which a medication is:</text>
      <paragraph num="(a)">
        <text>Removed from a:</text>
        <paragraph num="(i)">
          <text>Non-patient specific manufacturer’s original container; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Patient specific container directly received from another pharmacy licensed in Maryland or operated by the government of the United States provided that the manufacturer’s name is present on the container;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Placed into a new container by a licensed pharmacist or registered pharmacy technician under the direct supervision of a pharmacist; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Packaged as further defined in Regulation .07 of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Pharmaceutical services” means the care within practice standards, laws, regulations, and guidelines which is afforded by a licensed pharmacist to the residents of an assisted living program or group home.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Pharmacy area” means that portion of the licensed pharmacy where over-the-counter medications and other products requiring a prescription by federal or State law are stored and where the prescriptions are compounded or prepared.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Registered pharmacy technician” means an individual who is registered with the Board to perform delegated pharmacy acts.</text>
      <paragraph num="(a)">
        <text>Licensed to engage in the practice of pharmacy in Maryland;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Knowledgeable in, and thoroughly familiar with, the specialized functions of an assisted living program's or group home's pharmaceutical services; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Responsible for and in full and actual charge of the pharmacy and its personnel.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>“Responsible pharmacist” means a pharmacist who is:</text>
      <paragraph num="(a)">
        <text>Licensed to engage in the practice of pharmacy in Maryland;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Knowledgeable in, and thoroughly familiar with, the specialized functions of an assisted living program’s or group home’s pharmaceutical services; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Responsible for and in full and actual charge of the pharmacy and its personnel.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Verbal order” means a directive that is orally communicated to a licensed pharmacist to accept a prescription order by a person who is authorized to communicate a prescription.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Written order” means a directive that is directly written by an authorized prescriber or a transcription of an order from an authorized prescriber by a person authorized to transcribe an order.</text>
    </paragraph>
  </paragraph>
</regulation>