<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.69.01.11" title_num="10" subtitle_num="69" chapter_num="01" heading="Prescribing and Dispensing of Substances by a Licensed Certified Midwife.">
  <paragraph num="A.">
    <text>Pursuant to Health Occupations Article, §8-6D-01, Annotated Code of Maryland, a licensed certified midwife may:</text>
    <paragraph num="(1)">
      <text>Prescribe substances commonly used in the practice of midwifery; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Dispense substances prescribed in accordance with §A(1)—(2)of this regulation in the course of treating a client at a:</text>
      <paragraph num="(a)">
        <text>Nonprofit medical facility or clinic;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Health center operating on the campus of an institution of higher education;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Public health facility;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Medical facility under contract with a State or local health department; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Facility funded with public funds.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Comply with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Record the dispensing of the prescription drug on the client's chart;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>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</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Except for starter dosages or samples dispensed without charge:</text>
      <paragraph num="(a)">
        <text>Provide the client with a written prescription;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maintain prescription files; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Maintain a separate file for Schedule II prescriptions for a period of at least 7 years.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>The starter dosage complies with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>No charge is made for the starter dosage; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The licensed certified midwife enters an appropriate record in the client’s medical record.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>