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

   1. (1) Prescribe substances commonly used in the practice of midwifery; and
   2. (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. (3) Dispense substances prescribed in accordance with §A(1)—(2)of this regulation in the course of treating a client at a:

      1. (a) Nonprofit medical facility or clinic;
      2. (b) Health center operating on the campus of an institution of higher education;
      3. (c) Public health facility;
      4. (d) Medical facility under contract with a State or local health department; or
      5. (e) Facility funded with public funds.

2. 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. (1) Comply with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;
   2. (2) Record the dispensing of the prescription drug on the client's chart;
   3. (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. (4) Except for starter dosages or samples dispensed without charge:

      1. (a) Provide the client with a written prescription;
      2. (b) Maintain prescription files; and
      3. (c) Maintain a separate file for Schedule II prescriptions for a period of at least 7 years.

   5. (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:

      1. (a) The starter dosage complies with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;
      2. (b) No charge is made for the starter dosage; and
      3. (c) The licensed certified midwife enters an appropriate record in the client’s medical record.

Authority: Health Occupations Article, §§ 8-101, 8-205, 8-208, 8-508, 8-601, 8-6A-02, 8-6D-01 through 8-6D-15, 8-701, 8-708, and 8-710, Annotated Code of Maryland

Effective date: February 22, 2026 (52:17 Md. R. 875)