<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".28" citation="COMAR 10.44.04.28" title_num="10" subtitle_num="44" chapter_num="04" heading="Prescribing Medication.">
  <paragraph num="A.">
    <text>A dental hygienist who is recognized by the Board to prescribe medication may, under the general supervision of a dentist, prescribe:</text>
    <paragraph num="(1)">
      <text>Topical and systemic types of prescription or over-the-counter fluoride preparations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Topical antimicrobial rinses; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ibuprofen not exceeding 600 mg every 6 hours for up to 3 days after nonsurgical periodontal therapy.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A dental hygienist may not prescribe a drug:</text>
    <paragraph num="(1)">
      <text>That is classified as a controlled dangerous substance under Criminal Law Article, Title 5, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>That is a controlled dangerous substance as defined by 21 U.S.C. §812; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The prescription of which requires a federal Drug Enforcement Agency registration.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A dental hygienist may prescribe a medication under §A of this regulation under a standing order in the patient’s record that is authorized by the supervising dentist, if the dental hygienist includes the following information in the patient’s record:</text>
    <paragraph num="(1)">
      <text>The name of the medication;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The dosage of the medication;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The date and time the medication was administered;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The route by which the medication was administered; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Any allergies that the patient has.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The standing order entered into the patient’s record by the supervising dentist shall include at least:</text>
    <paragraph num="(1)">
      <text>The name of the medication;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The dosage of the medication; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The particular circumstances under which the medication should be administered.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>In addition to the requirements of §D of this regulation, the standing order entered into the patient’s record by the supervising dentist shall identify any allergies that the patient has.</text>
  </paragraph>
</regulation>