Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 34 - BOARD OF PHARMACY
Chapter 10.34.29 - Drug Therapy Management
Section 10.34.29.06 - Therapy Management Contracts
Universal Citation: MD Code Reg 10.34.29.06
Current through Register Vol. 51, No. 19, September 20, 2024
A. A therapy management contract shall be signed by the:
(1) Authorized prescriber or
authorized prescribers involved in the management of the patient under a
prescriber-pharmacist agreement;
(2) Pharmacist or pharmacists involved in the
management of the patient under a prescriber-pharmacist agreement;
and
(3) Patient receiving care
under the therapy management contract.
B. A therapy management contract shall contain:
(1) A list of allowable
substitutions of chemically dissimilar drugs, if any;
(2) A statement that:
(a) None of the parties involved in the
therapy management contract have been:
(i)
Coerced into participating in the therapy management contract;
(ii) Given economic incentives, excluding
normal reimbursement for services rendered; or
(iii) Involuntarily required to participate
in the therapy management contract; and
(b) The pharmacist shall notify the
authorized prescriber under the terms of the prescriber-pharmacist agreement if
the pharmacist:
(i) Modifies the dose or
agent under the therapy management contract; or
(ii) Detects an abnormal result from an
assessment activity;
(3) Notice to the patient stating:
(a) That the patient may terminate the
therapy management contract at any time; and
(b) The procedure by which the patient may
terminate the therapy management contract;
(4) A procedure for periodic review by the
authorized prescriber of the drugs modified under the prescriber-pharmacist
agreement or changed with the consent of the authorized prescriber,
(5) A reference to the protocol or protocols
under which the pharmacist shall act; and
(6) Exceptions or limitations to the protocol
or protocols for the specific patient.
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