# COMAR Title 10 — Maryland Department of Health

## Subtitle 69 — Board of Nursing—Licensed Certified Midwives

### Chapter 01 — Licensure of Licensed Certified Midwives

#### Regulation .11 Prescribing and Dispensing of Substances by a Licensed Certified Midwife.

*COMAR 10.69.01.11*

A. Pursuant to Health Occupations Article, §8-6D-01, Annotated Code of Maryland, a licensed certified midwife may:

  (1) Prescribe substances commonly used in the practice of midwifery; and

  (2) Prescribe controlled dangerous substances on Schedules II-V under Criminal Law Article, §§5-403—5-406, Annotated Code of Maryland, commonly used in the practice of midwifery; and

  (3) Dispense substances prescribed in accordance with §A(1)—(2)of this regulation in the course of treating a client at a:

    (a) Nonprofit medical facility or clinic;

    (b) Health center operating on the campus of an institution of higher education;

    (c) Public health facility;

    (d) Medical facility under contract with a State or local health department; or

    (e) Facility funded with public funds.

B. A licensed certified midwife who personally prepares and dispenses a drug in the course of treating a client as authorized under §A(3) of this regulation shall:

  (1) Comply with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;

  (2) Record the dispensing of the prescription drug on the client's chart;

  (3) Allow the Office of Controlled Substances Administration to enter and inspect the licensed certified midwife's office at all reasonable hours in accordance with Health Occupations Article, §8-508, Annotated Code of Maryland ; and

  (4) Except for starter dosages or samples dispensed without charge:

    (a) Provide the client with a written prescription;

    (b) Maintain prescription files; and

    (c) Maintain a separate file for Schedule II prescriptions for a period of at least 7 years.

  (5) A licensed certified midwife may personally prepare and dispense a starter dosage of any drug the licensed certified midwife is authorized to prescribe to a client if:

    (a) The starter dosage complies with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;

    (b) No charge is made for the starter dosage; and

    (c) The licensed certified midwife enters an appropriate record in the client’s medical record.