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<chapter num="42" heading="Pharmacist Prescribing of a Nicotine Replacement Therapy Medication" title_num="10" subtitle_num="34">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter does not limit or otherwise affect the right of an individual to practice pharmacy or any other health occupation that the individual is authorized to practice.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" 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>“Board” means the Maryland Board of Pharmacy.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Nicotine replacement therapy medication” means a nicotine-based treatment, including inhalers, gums, lozenges, nasal sprays, and patches, approved by the United States Food and Drug Administration that assists an individual to cease the use of products that contain nicotine.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Primary care practitioner” means a licensed health care practitioner who:</text>
        <paragraph num="(a)">
          <text>Provides an individual’s primary care services; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Is the primary coordinator of health care services for the individual.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>“Visit summary” means:</text>
        <paragraph num="(a)">
          <text>A written record of the nicotine replacement therapy medication dispensed;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The name and contact information for the prescribing pharmacist; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>The information on the importance of regular appointments with the individual’s primary care practitioner.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Requirements to Prescribe and Dispense a Nicotine Replacement Therapy Medication.">
    <paragraph num="A.">
      <text>Training Requirements.</text>
      <paragraph num="(1)">
        <text>Prior to prescribing and dispensing a nicotine replacement therapy medication, a pharmacist shall complete a training program developed for the prescribing of a nicotine replacement therapy medication approved by the Board that is:</text>
        <paragraph num="(a)">
          <text>Offered by an accredited school of pharmacy;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Offered by an accredited school of medicine; or</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Accredited by the Accreditation Council for Pharmacy Education.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>A pharmacist who obtained training to prescribe a nicotine replacement therapy medication as part of their formal education is exempt from completing an additional training program.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Standard Procedures. When an individual requests a nicotine replacement therapy medication, a pharmacist shall:</text>
      <paragraph num="(1)">
        <text>Provide the individual with appropriate counseling in the use of the prescribed nicotine replacement therapy medication;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Provide the individual with a visit summary;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Refer the patient to the individual’s primary care provider for additional care; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Record the prescribing and dispensing of the nicotine replacement therapy medication in any health record maintained for the individual by the pharmacist.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health Occupations Article, §§12-205 and 12-514, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: October 14, 2024 (51:20 Md. R. 899)</annotation>
  </annotations>
</chapter>