Sec. 10.27.07.07. Preparing and Dispensing

A. A nurse practitioner may personally prepare and dispense any drug that a nurse practitioner is authorized to prescribe in the course of treating a patient at:

(1) A medical facility or clinic that specializes in the treatment of medical cases reimbursable through workers' compensation insurance;

(2) A medical facility or clinic that is operated on a nonprofit basis;

(3) A health center that operates on a campus of an institution of higher education;

(4) A public health facility, a medical facility under contract with a State or local health department, or a facility funded with public funds; or

(5) A nonprofit hospital or a nonprofit hospital out-patient facility as authorized under the policies established by the hospital.

B. A nurse practitioner who personally prepares and dispenses a drug in the course of treating a patient shall:

(1) Comply with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;

(2) Record the dispensing of the prescription drug on the patient's chart;

(3) Allow the Division of Drug Control to enter and inspect the nurse practitioner's office at all reasonable hours;

(4) Except for starter dosages or samples dispensed without charge, provide the patient with a written prescription; and

(5) Stamp all Schedule III, IV, and V prescriptions with the letter "C" in red ink, not less than 1 inch high in the lower right hand corner.

C. A nurse practitioner shall:

(1) Maintain two separate files, one for Schedule II prescriptions and another file for all other prescriptions; and

(2) Maintain all prescriptions for 5 years.

D. A nurse practitioner may personally prepare and dispense a starter dosage of any drug the nurse practitioner is authorized to prescribe. The nurse practitioner shall:

(1) Label the starter dosage in compliance with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;

(2) Provide the starter dose free of charge; and

(3) Enter the starter dose dispensed in the patient's medical record.