1. A. Before a pharmacist may dispense or distribute at a setting that does not hold a pharmacy permit under Regulation .01A(1) of this chapter, the pharmacist shall submit to the Board a request for approval signed by the pharmacist, which includes:

   1. (1) The name and license number of the pharmacist;
   2. (2) The scope of services to be provided by the pharmacist at the nonpharmacy setting;
   3. (3) The name and address of the nonpharmacy setting where the pharmacist intends to dispense or distribute; and
   4. (4) A statement indicating the pharmacist's criminal history, if any.

2. B. If the pharmacist intends to provide drug therapy management services in a licensed physician's office under Regulation .01A(1)(a) of this chapter, in addition to the requirements of §A of this regulation, the pharmacist shall provide:

   1. (1) The name and license number of the licensed physician; and
   2. (2) Proof of an approved physician-pharmacist agreement with the licensed physician.

Authority: Health Occupations Article, §§12-205 and 12-307, Annotated Code of Maryland

Effective date: March 1, 2004 (31:4 Md. R. 317)