Maryland Scorecard

Grading Scale:
A – 85-100%, B – 70-84.9%, C – 55-69.9%, D – 40-54.9%, F – 0-39.9%


Grading Categories & Criteria


Maryland Law

I. Laws
§12–6B–01.
(a) Except as otherwise provided in this title, on or after January 1, 2007, an individual shall be registered and approved by the Board as a pharmacy technician before the individual may perform delegated pharmacy acts.

(b) This section does not apply to:

(1) A pharmacy student performing delegated pharmacy acts under the direct supervision of a licensed pharmacist and in accordance with regulations adopted by the Board;

(2) A pharmacy technician trainee under the direct supervision of a licensed pharmacist provided that the individual does not perform delegated pharmacy acts for more than 6 months; or

(3) An applicant for a license to practice pharmacy under the direct supervision of a licensed pharmacist provided that the applicant does not perform delegated pharmacy acts for more than 10 months.

§12–6B–02.
(a) To qualify for registration an applicant shall be an individual who:
(1) Is currently certified by a national pharmacy technician certification program and complies with subsection (b)(6) of this section; or
(2) Meets the requirements of this section.
(b) The applicant shall:
(1) Be of good moral character;
(2) Be at least 17 years old;
(3)
(i)
1. Be a high school graduate or have attained a high school equivalency; or

2. Be enrolled and in good standing at a high school; or

(ii) Meet the requirements in subsection (d) of this section;
(4) Have successfully passed an examination approved by the Board;

(5) Complete a pharmacy technician training program approved by the Board that:

(i) Includes 160 hours of work experience; and
(ii) Is no longer than 6 months’ duration; and

(6) Submit a request for a State criminal history records check.

(c) The Board may not approve an application until the State criminal history records check is completed.

(d) If an applicant does not meet the requirements of subsection (b)(3) through (5) of this section, the applicant qualifies for registration if:

(1) The applicant has worked in the pharmacy area of a pharmacy operated by the same pharmacy permit holder since January 1, 2006;

(2) The pharmacy permit holder for whom the applicant works attests in writing that the applicant has worked in the pharmacy area operated by the pharmacy permit holder continuously since January 1, 2006;

(3) A pharmacist who has supervised the applicant for at least 6 months attests in writing that the individual has performed competently; and

(4) The applicant otherwise meets the requirements of subsection (b) of this section.

(e) An individual, at least 16 years and 6 months old, may begin fulfilling the pharmacy technician registration requirements under this subtitle.

(f)
(1) Subject to the provisions of this subsection, the Board may waive any requirement of this subtitle for an individual who is registered as or has worked as a pharmacy technician in another state.

(2) The Board may grant a waiver under this subsection only if the applicant:

(i) Pays the application fee required under § 12-6B-03 of this subtitle; and

(ii)
1. Provides sufficient evidence that the applicant was registered in a state with registration or licensing requirements that are substantially similar to the registration requirements of this subtitle; or

2. Has worked as a pharmacy technician in another state and satisfies any additional requirements established by the Board in regulation.
§12–6B–03.
(a) An applicant for registration shall:
(1) Submit an application to the Board on the form that the Board requires;
(2) Unless otherwise qualified under § 12-6B-02(a) or (d) of this subtitle, provide documentation of the completion of a pharmacy technician training program under § 12-6B-02(b)(5) of this subtitle;

(3) Unless otherwise qualified under § 12-6B-02(a) or (d) of this subtitle, provide documentation of having successfully completed an examination approved by the Board;

(4) Submit to a request for a State criminal history records check; and

(5) Pay the application fees set by the Board.
(b) The application shall be signed by the applicant.

§12–6B–04.
(a) The Board shall register as a pharmacy technician any applicant who meets the requirements of this subtitle.

(b)
(1) The Board may set reasonable fees for the issuance and renewal of registrations and other services.

(2) The fees charged shall be set so as to approximate the cost of registering pharmacy technicians.
§12–6B–05.
(a) A registered pharmacy technician shall notify the Board of each plea of guilty for, conviction of, or entry of a plea of nolo contendere for a felony or a crime involving moral turpitude, regardless of whether:

(1) An adjudication of guilt or sentencing or imposition of sentence is withheld; or
(2) Any appeal or other proceeding is pending regarding the matter.

(b) The registered pharmacy technician shall notify the Board within 7 days of the conviction or entry of the plea.

§12–6B–06.
(a) Registration authorizes a registered pharmacist technician to perform delegated pharmacy acts as defined in § 12–101 of this title while the registration is effective.

(b) A registered pharmacy technician or a pharmacy technician trainee may not:

(1) Act within the parameters of a therapy management contract as provided under Subtitle 6A of this title;
(2) Administer an influenza vaccination in accordance with § 12–508 of this title;
(3) Delegate a pharmacy act that was delegated to the registered pharmacy technician or individual engaging in a Board approved technician training program; or
(4) Perform other functions prohibited by regulations adopted by the Board.

§12–6B–07.
(a)
(1) Unless the registration is renewed for an additional term as provided in this section, registration expires on the date set by the Board.

(2) The ability of a registered pharmacy technician to function as a pharmacy technician terminates on the date of expiration of the pharmacy technician’s registration unless renewed.

(3) Registration may not be renewed for a term longer than 2 years.

(b)
(1) Except as provided in paragraph (2) of this subsection, the Board shall send to each registered pharmacy technician, at least 1 month before a registration expires, a renewal notice by first–class mail to the last known address of the registered pharmacy technician.

(2) If requested by a registered pharmacy technician, the Board shall send to the registered pharmacy technician, at least two times within the month before a pharmacy technician registration expires, a renewal notice by electronic means to the last known electronic address of the registered pharmacy technician.

(3) If a renewal notice sent by electronic means under paragraph (2) of this subsection is returned to the Board as undeliverable, the Board shall send the registered pharmacy technician a renewal notice by first–class mail to the last known address of the registered pharmacy technician.

(4) A renewal notice sent under this subsection shall state:
(i) The date on which the current registration expires;

(ii) The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the registration expires; and

(iii) The amount of the renewal fee.

(c) A registered pharmacy technician periodically may renew a pharmacy technician’s registration for an additional 2-year term, if the registered pharmacy technician:

(1) Otherwise is entitled to be registered as a pharmacy technician;

(2) Submits to the Board a renewal application on the form that the Board requires;

(3) Meets the continuing education requirements set by the Board under this section; and

(4) Pays to the Board a renewal fee set by the Board.
(d) In addition to any other qualifications and requirements established by the Board, the Board shall establish continuing education requirements as a condition to the renewal of registrations under this section.

(e) The Board shall renew the registration of each pharmacy technician who meets the requirements of this section.

(f)
(1) Except as provided in paragraph (2) of this subsection, the registration of a pharmacy technician who qualified for registration under § 12-6B-02(d) of this subtitle permanently expires on the date the registered pharmacy technician’s employment terminates with the pharmacy permit holder that made the attestation required under § 12-6B-02(d) of this subtitle.

(2) Paragraph (1) of this subsection does not apply to the registration of a pharmacy technician who:
(i) At the time of termination, notifies the Board of the termination date;

(ii) Resumes working as a pharmacy technician within 1 year of the termination date; and

(iii) Notifies the Board of the date the registered pharmacy technician begins employment after the termination date.
§12–6B–08.
(a) Each registered pharmacy technician shall:
(1) Display the pharmacy technician’s registration in the office or place of business in which the pharmacy technician is working; or

(2) Have the registration on the pharmacy technician’s person available for viewing.

(b) When performing delegated pharmacy acts, the registered pharmacy technician shall wear identification that conspicuously identifies the registered pharmacy technician as a registered pharmacy technician.

II. Regulations

.04 Registration Requirements.
A. An applicant currently certified by a national pharmacy technician certification program shall:

(1) Submit to the Board a signed completed application on a form provided by the Board;

(2) Submit to the Board evidence of current certification by a national pharmacy certification program;

(3) Pay a fee as set forth in COMAR 10.34.09; and

(4) Submit a request for a State Criminal History Records check.

B. An applicant that does not qualify under §A of this regulation shall:

(1) Submit to the Board a signed completed application on a form provided by the Board;

(2) Be 17 years old or older;

(3) Meet the following educational requirements:

(a) Be a high school graduate or have attained a high school equivalency diploma;

(b) Be enrolled and in good standing at a high school; or

(c) Meet the requirements of §C of this regulation;

(4) Provide satisfactory proof to the Board of the applicant’s successful completion of a pharmacy technician training program approved by the Board that:

(a) Is no longer than 6 months duration; and

(b) Includes 160 hours of work experience;

(5) Pass an examination approved by the Board as set forth in Regulation .06 of this chapter;

(6) Pay a fee as set forth in COMAR 10.34.09; and

(7) Submit a request for a State Criminal History Records check.

C. An applicant who does not meet the requirements of §A or B of this regulation shall:

(1) Submit to the Board a signed application on a form provided by the Board;

(2) Comply with the age requirements as set forth in §B of this regulation;

(3) Provide written verification from the pharmacy permit holder that the applicant has worked in the pharmacy area of a pharmacy operated by the same pharmacy permit holder continuously since January 1, 2006;

(4) Provide written verification from the pharmacist who has supervised the applicant for at least 6 months that the applicant has performed competently;

(5) Pay a fee as set forth in COMAR 10.34.09; and

(6) Submit a request for a State Criminal History Records check.

D. The Board of Pharmacy shall provide the pharmacy technician with a registration card and pocket identification card upon initial registration and renewal.

.06 Standards for Pharmacy Technician Training Programs.
A. Minimum Standards.

(1) Pharmacy technician training programs shall, at a minimum, cover the following areas of pharmacy practice:

(a) Roles and responsibilities of the pharmacy technician;

(b) Knowledge of prescription medications;

(c) Knowledge of strengths or dose, dosage forms, physical appearance, routes of administration, and duration of drug therapy;

(d) The dispensing process;

(e) Pharmaceutical calculations;

(f) Interacting with patients;

(g) Third party prescriptions;

(h) Extemporaneous compounding;

(i) Requirements and professional standards for:

(i) Preparing;

(ii) Labeling;

(iii) Dispensing;

(iv) Storing;

(v) Prepackaging;

(vi) Distributing; and

(vii) How medications are administered;

(j) Confidentiality;

(k) Drugs used to treat the following indications:

(i) Hypertension;

(ii) Antihyperlipidemia;

(iii) Diabetes mellitus;

(iv) Arthritis;

(v) Gastrointestinal disorders;

(vi) Asthma and allergy; and

(vii) Infectious diseases;

(l) Federal and State laws and regulations governing the practice of pharmacy; and

(m) Knowledge of special dosing considerations for pediatric and geriatric populations.

(2) Pharmacy technician training programs may be offered by:

(a) Pharmacy employers;

(b) Nationally recognized pharmacy technician training programs;

(c) Accredited educational institutions pharmacy technician programs;

(d) Pharmacy technician programs approved by the Maryland State Department of Education and the Maryland Higher Education Commission; and

(e) Pharmacy technician training programs offered by the U.S. Armed Forces.

(3) Training programs may not be longer than 6 months.

(4) Training programs shall include 160 hours of work experience.

B. Board Approval of Pharmacy Technician Training Programs.

(1) A program shall submit an application on a form provided by the Board.

(2) A program shall provide the Board with the course outline and any other information requested by the Board.

(3) Any changes in course content shall require notification and approval from the Board.

(4) The Board shall have final approval of a pharmacy technician training program.

(5) The Board may withdraw approval of a program if the Board finds that the program is in violation of this chapter.

(6) The Board shall approve pharmacy technician training programs offered by the U.S. Armed Forces.

.07 Standards for Examination Approval.
The Board shall approve examinations which have:

A. Content criteria set forth in Regulation .06 of this chapter;

B. A minimum of 100 multiple choice questions;

C. Sufficient additional questions so that the examination questions may be rotated twice a year; and

D. A passing score of 75 percent or higher.

.08 Renewal Requirements.
A. The pharmacy technician’s registration shall expire on the last day of the birth month following 1 year after initial registration.

B. Following initial registration, a pharmacy technician’s registration:

(1) Expires on the date set by the Board unless it is renewed for an additional term; and

(2) May not be renewed for a term longer than 2 years.

C. At least 1 month before the registration expires, the Board shall issue a renewal notice to the pharmacy technician registrant that states:

(1) The date on which the current registration expires;

(2) The date by which the renewal application shall be received by the Board for the renewal to be issued and mailed before the registration expires; and

(3) The amount of the renewal fee.

D. The registrant may renew the registration for an additional term of 2 years if the registrant:

(1) Otherwise is entitled to be registered;

(2) Pays to the Board a renewal fee set forth in COMAR 10.34.09; and

(3) Submits to the Board:

(a) A renewal application on the form that the Board requires; and

(b) Satisfactory evidence of compliance with the continuing education requirements set forth in Regulation .09 of this chapter.

.09 Continuing Education.
A. Requirements.

(1) A pharmacy technician registered to practice in Maryland shall earn 20 hours of approved continuing pharmaceutical education within the 2-year period immediately preceding the registrant’s renewal application.

(2) For the first renewal period during which continuing education is mandatory for a pharmacy technician, the Board of Pharmacy shall require only 10 hours of continuing education requirements.

(3) A pharmacy technician shall:

(a) Attest to the fact that the pharmacy technician has completed the continuing pharmacy technician education requirement on the required form; and

(b) Retain supporting documents for inspection by the Board for 4 years after the date of renewal for which the continuing education credits were used.

B. Accredited Continuing Education Providers.

(1) The following providers are approved for any programs they offer which otherwise qualify for continuing education credit:

(a) Accreditation Council on Pharmaceutical Education (ACPE);

(b) All schools of pharmacy accredited by the American Association of Colleges of Pharmacy (AACP); and

(c) Out-of-State providers approved by a state board of pharmacy.

(2) Procedures for Approval of Additional Programs.

(a) Other providers shall initially request Board approval for individual programs.

(b) An approved program is valid for a 2-year period.

(c) The approved provider shall submit to the Board changes to the program that differ from the initial submission of information for Board approval.

(d) Failure to submit to the Board changes to an approved program may result in the Board withdrawing approval of the program.

(3) Providers of continuing education shall furnish a certificate of completion to participants who qualify that includes the:

(a) Name of the participant;

(b) Name of the provider;

(c) Description of course work;

(d) Number of hours;

(e) Date of completion; and

(f) Program identification number or provider number on the certificate.

C. Miscellaneous.

(1) Credits may not be carried over from one continuing education period to another.

(2) The Board of Pharmacy may grant an exception from the continuing education requirements if the pharmacy technician presents evidence that failure to comply was due to circumstances beyond the pharmacy technician’s control.

(3) Falsifying continuing education records is grounds for disciplinary action under Health Occupations Article, §12-6B-09(2) and (3), Annotated Code of Maryland.

(4) If the Board provides a form for information, the pharmacy technician shall use the form to supply the requested information to the Board.

.10 Reinstatement.
A. A pharmacy technician whose Maryland registration expired less than 2 years before applying for reinstatement shall:

(1) Complete 20 hours of continuing education; and

(2) Pay to the Board the reinstatement fee established by the Board in COMAR 10.34.09.

B. A pharmacy technician whose Maryland registration expired more than 2 years before applying for reinstatement, shall:

(1) Complete 20 hours of continuing education;

(2) Pay to the Board the reinstatement fee established by the Board in COMAR 10.34.09; and

(3) Pass a Board-approved exam.

References

Maryland Pharmacy Statutes
http://mlis.state.md.us/asp/web_statutes.asp?gho&12-6B-01

Maryland Pharmacy Regulations
http://www.dsd.state.md.us/comar/SubtitleSearch.aspx?search=10.34.34.*

The data contained in this 2012 Annual Scorecard are accurate as of December 2012 .  Because statutes and regulations are continually revised, the data are subject to change.  These data have been verified with the state board of pharmacy.  This scorecard is updated on an annual basis in order to incorporate statutory and regulatory changes.  A new scorecard will be issued in July 2013.

Scoring rationale for Education and Training:
In order to protect the public and help ensure patient safety, it is important that pharmacy technicians are properly educated and trained.  The most rigorous training is accredited training.  The sole entity empowered to accredit pharmacy-technician training programs is the American Society of Health-System Pharmacists (ASHP).  Please note that this is “programmatic accreditation” – not “institutional accreditation.”  It is the content of the training program – as measured against established standards – that is being evaluated and accredited.  Accredited training is vital to protecting patient safety because it means that a pharmacy-technician training program has met established quality standards to provide assurance and confidence to the public.  For more information, please see http://www.ashp.org/menu/Accreditation/TechnicianAccreditation.aspx.

Scoring rationale for Certification:
Certification is the process by which a nongovernmental agency or association grants recognition to an individual who has met certain predetermined qualifications specified by that agency or association.  This is often determined by an examination process.  Numerous organizations have recommended that the certification exam conducted by the Pharmacy Technician Certification Board (PTCB) should be recognized as the sole, nationally-accredited certification exam for pharmacy technician certification – including the National Association of Boards of Pharmacy (NABP), the Texas State Board of Pharmacy (TSBP), and the U.S. Department of Veterans Affairs (VA). In a recent report, NABP recommended that states be encouraged to “recognize certification by the Pharmacy Technician Certification Board (PTCB).” Moreover, NABP performed a psychometric audit of the PTCB’s pharmacy technician certification examination (PTCE) in 2001 and determined that the PTCE is psychometrically sound, defensible, and valid. In May 2010, the TSBP awarded the PTCB with the Pharmacy Technician Certification Provider contract in Texas. PTCB was selected for the contract after a rigorous bidding and evaluation process that included formal reviews and evaluations from three independent psychometricians. TSBP confidently recognizes PTCB as the single provider of certification examinations for pharmacy technicians. In addition, in June 2010, the VA began requiring PTCB certification for VA pharmacy technicians employed at grade GS-6 and above.

Scoring rationale for Registration/Licensure:
Registration/licensure is the process by which the state maintains a list of all pharmacy technicians in the state and grants permission for an individual to work as a pharmacy technician in the state based on the applicant’s completion of all pre-requisites to registration/licensure – such as required training and certification.

Scoring rationale for Continuing Education:
Continuing education enables pharmacy technicians to fulfill their professional responsibility to maintain competence and up-to-date knowledge and skills in an environment of technological advances and increasingly complex, new medications and therapies.


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