Ch. 614

1997 LAWS OF MARYLAND

(3) THE PHARMACIST NOTIFIES THE AUTHORIZED PRESCRIBER OF THE
REFILL OF THE PRESCRIPTION WITHIN 7 DAYS OF DISPENSING THE DRUG, OR
DEVICE, OR DIAGNOSTIC; AND

(4) THE REFILL OF THE PRESCRIPTION IS NOT FOR A CONTROLLED
DANGEROUS SUBSTANCE.

[12-512.] 12-507.

(a)     A pharmacist who provides prescription services to medical assistance
recipients shall offer to discuss with each medical assistance recipient or caregiver who
presents a prescription order for outpatient drugs any matter which, in the exercise of the
pharmacist's professional judgment, the pharmacist deems significant, which may include
the following:

(1)     The name and description of the medication;

(2)     The route, dosage form, dosage, route of administration, and duration of
drug therapy;

(3)     Special directions and precautions for preparation, administration, and
use by the patient;

(4)     Common severe side or adverse effects or interactions and therapeutic
contraindications that may be encountered, including their avoidance, and the action
required if they occur;

(5)     Techniques for self-monitoring drug therapy;

(6)     Proper storage;

(7)     Prescription refill information; and

(8)     Action to be taken in the event of a missed dose.

(b)     The offer to discuss may be made in the manner determined by the
professional judgment of the pharmacist, which shall include either:

(1)     A face-to-face communication with the pharmacist; or

(2)     At least 2 of the following:

(i) A sign posted so it can be seen by patients;

(ii) A notation affixed to or written on the bag in which the
prescription is to be dispensed;

(iii) A notation contained on the prescription container; or

(iv) Communication by telephone.

(c)     Nothing in this section shall be construed as requiring a pharmacist to provide
consultation if the medical assistance recipient or caregiver refuses the consultation.

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