1. A. Before a pharmacist administers a maintenance injectable medication, a pharmacist shall have and maintain a written procedure for any maintenance injectable medication that may be administered.

2. B. A pharmacist shall administer a maintenance injectable medication in accordance with the written procedure, including:

   1. (1) Recording and maintaining the prescription files in accordance with Regulation .05 of this chapter;

   2. (2) Reviewing and screening for the following:

      1. (a) Indications;
      2. (b) Precautions;
      3. (c) Contraindications; and
      4. (d) Allergies;

   3. (3) Reviewing the process for handling adverse reactions, including but not limited to:

      1. (a) Acute anaphylactic reactions; and
      2. (b) Other acute emergencies;
   4. (4) Following injection or administration procedures;
   5. (5) Advising the patient of post-administration procedures, including waiting requirements; and

   6. (6) Documenting and maintaining a maintenance injectable medication record, including:

      1. (a) Patient’s:

         1. (i) Name;
         2. (ii) Date of birth;
         3. (iii) Address;
         4. (iv) Consent form;
         5. (v) Authorized prescriber; and
         6. (vi) Administering pharmacist’s name and license number;

      2. (b) Administration:

         1. (i) Date;
         2. (ii) Dose;
         3. (iii) Site; and
         4. (iv) Route;

      3. (c) Maintenance injectable medication:

         1. (i) Name, generic or brand;
         2. (ii) Manufacturer;
         3. (iii) Lot number; and
         4. (iv) Expiration date;
      4. (d) Notification to the authorized prescriber that the patient received a specific maintenance injectable medication; and

      5. (e) Verification that the prescription is:

         1. (i) Not for the patient’s initial dose, if applicable; or
         2. (ii) For the patient’s initial dose and the patient’s record contains documented approval from the authorized prescriber.

3. C. The pharmacist shall:

   1. (1) Sign and date the standard procedure at least annually;
   2. (2) Make the standard procedure available for inspection by the Board upon request; and
   3. (3) Review and update the standard procedure as necessary.

Authority: Health-Occupations Article, §§12-101(o-1) and 12-509, Annotated Code of Maryland

Effective date: June 13, 2022 (49:12 Md. R. 640)