# COMAR Title 10 — Maryland Department of Health

## Subtitle 34 — Board of Pharmacy

### Chapter 41 — Administration of a Maintenance Injectable Medication

#### Regulation .07 Standard Procedures.

*COMAR 10.34.41.07*

A. Before a pharmacist administers a maintenance injectable medication, a pharmacist shall have and maintain a written procedure for any maintenance injectable medication that may be administered.

B. A pharmacist shall administer a maintenance injectable medication in accordance with the written procedure, including:

  (1) Recording and maintaining the prescription files in accordance with Regulation .05 of this chapter;

  (2) Reviewing and screening for the following:

    (a) Indications;

    (b) Precautions;

    (c) Contraindications; and

    (d) Allergies;

  (3) Reviewing the process for handling adverse reactions, including but not limited to:

    (a) Acute anaphylactic reactions; and

    (b) Other acute emergencies;

  (4) Following injection or administration procedures;

  (5) Advising the patient of post-administration procedures, including waiting requirements; and

  (6) Documenting and maintaining a maintenance injectable medication record, including:

    (a) Patient’s:

      (i) Name;

      (ii) Date of birth;

      (iii) Address;

      (iv) Consent form;

      (v) Authorized prescriber; and

      (vi) Administering pharmacist’s name and license number;

    (b) Administration:

      (i) Date;

      (ii) Dose;

      (iii) Site; and

      (iv) Route;

    (c) Maintenance injectable medication:

      (i) Name, generic or brand;

      (ii) Manufacturer;

      (iii) Lot number; and

      (iv) Expiration date;

    (d) Notification to the authorized prescriber that the patient received a specific maintenance injectable medication; and

    (e) Verification that the prescription is:

      (i) Not for the patient’s initial dose, if applicable; or

      (ii) For the patient’s initial dose and the patient’s record contains documented approval from the authorized prescriber.

C. The pharmacist shall:

  (1) Sign and date the standard procedure at least annually;

  (2) Make the standard procedure available for inspection by the Board upon request; and

  (3) Review and update the standard procedure as necessary.