# COMAR 10.32.03.09: COMAR 10.32.03.09. Prescriptive Authority and Dispensing Starter Dosage or Drug Samples

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_09

## Section

- **Citation:** COMAR 10.32.03.09
- **Heading:** COMAR 10.32.03.09. Prescriptive Authority and Dispensing Starter Dosage or Drug Samples
- **Jurisdiction:** Maryland
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 32 BOARD OF PHYSICIANS / Chapter 03 Physician Assistant / COMAR 10.32.03.09

## Text

A. In order for a patient care team physician to delegate prescriptive authority, the [primary supervising] patient care team physician shall ensure that the collaboration 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 dispensed include the physician assistant's name and the patient care team 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
t; 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.

## Nearby sections

- [COMAR 10.32.03.01 COMAR 10.32.03.01. Scope](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_01.md)
- [COMAR 10.32.03.02 COMAR 10.32.03.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_02.md)
- [COMAR 10.32.03.03 COMAR 10.32.03.03. Physician Assistant Advisory Committee](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_03.md)
- [COMAR 10.32.03.04 COMAR 10.32.03.04. Scope of Practice](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_04.md)
- [COMAR 10.32.03.05 COMAR 10.32.03.05. Qualifications for Licensure as a Physician Assistant](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_05.md)
- [COMAR 10.32.03.06 COMAR 10.32.03.06. Collaboration Agreements—Core Duties](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_06.md)
- [COMAR 10.32.03.07 COMAR 10.32.03.07. Collaboration Agreements—Advanced Duties](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_07.md)
- [COMAR 10.32.03.08 COMAR 10.32.03.08. Approval, Disapproval, Ineligible, or Modification of Advanced Duties](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_08.md)
- [COMAR 10.32.03.09 COMAR 10.32.03.09. Prescriptive Authority and Dispensing Starter Dosage or Drug Samples](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_09.md)
- [COMAR 10.32.03.10 COMAR 10.32.03.10. Renewal, Reinstatement, Change in Name or Address, and Continuing Education](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_10.md)
- [COMAR 10.32.03.11 COMAR 10.32.03.11. Identification as Physician Assistant](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_11.md)
- [COMAR 10.32.03.12 COMAR 10.32.03.12. Responsibility of the Physician Assistant](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_12.md)
- [COMAR 10.32.03.13 COMAR 10.32.03.13. Prohibited Conduct](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_13.md)
- [COMAR 10.32.03.14 COMAR 10.32.03.14. Reports by Employers and Patient Care Team Physician](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_09. Check the current official text before relying on it. Not legal advice.