A. In order for a primary supervising physician to delegate prescriptive authority, the primary supervising physician shall ensure that the delegation agreement includes:
(1) A statement describing whether the physician intends to delegate any of the following:
(a) Prescribing of:
(i) Controlled dangerous substances;
(ii) Prescription drugs; or
(iii) Medical devices;
(b) Giving verbal, written, or electronic orders for medications;
(c) Dispensing starter dosages or drug samples;
(2) An attestation that all prescribing activities of the physician assistant will comply with applicable federal and State regulations;
(3) An attestation that all medical charts and records will contain a notation of any prescriptions written by a physician assistant;
(4) An attestation that all prescriptions written include the physician assistant's name and the supervising physician's name, business address, and business telephone number legibly written or printed;
(5) An attestation that the physician assistant has:
(a) Passed the physician assistant national certification exam administered by the National Commission on the Certification of Physician Assistants, Inc. within the previous 2 years; or
(b) Completed 8 Category I hours of pharmacology education within the previous 2 years; and
(6) An attestation that the physician assistant has at least one of the following:
(a) A bachelor's degree or its equivalent; or
(b) 2 years of work experience as a physician assistant.
B. Dispensing of Drug Samples and Starter Dosages of Drugs by Physician Assistant.
(1) A drug sample or starter dosage shall meet the following criteria before a physician assistant may dispense the drug sample or starter dosage:
(a) Package is labeled as required by Health Occupations Article, §12-505, Annotated Code of Maryland; and
(b) No charge is made for the drug sample or starter dosage.
(2) A physician assistant shall enter an appropriate note in the patient’s medical record.
(3) A physician assistant may not delegate dispensing of drug samples or starter dosages.