Section 12-506 - Guidelines for unauthorized refills(a) A pharmacist may refill a prescription for a drug or device for which the refill has not been authorized if: (1) The pharmacist: (i) Attempts to obtain an authorization from the authorized prescriber; and(ii) Is not able readily to obtain the authorization;(2) The refill of the prescription is not for a controlled dangerous substance;(3) The drug or device is essential to the maintenance of life;(4)(i) The drug or device is essential to the continuation of therapy in chronic conditions; and(ii) In the pharmacist's professional judgment, the interruption of the therapy reasonably might produce an undesirable health consequence, be detrimental to the patient's welfare, or cause physical or mental discomfort;(5) The pharmacist: (i) Enters on the back of the prescription or on another appropriate uniformly maintained, readily retrievable record, such as a medication record, the date and the quantity of the drug or device dispensed; and(ii) Signs or initials the record; and(6) The pharmacist notifies the authorized prescriber of the refill of the prescription within 72 hours of dispensing the drug or device.(b) If a pharmacist refills a prescription under subsection (a) of this section, the pharmacist may provide only 1 refill of the prescription and the refill quantity dispensed shall be in conformity with the prescriber's directions for use and may not exceed a 14-day supply or unit of use.(c) If the federal or a state government declares a state of emergency, a pharmacist working in Maryland may refill a prescription for a drug for which the refill has not been authorized if: (1) As a result of the emergency, the pharmacist is unable to obtain an authorization from the authorized prescriber;(2) The refill of the prescription is not for a controlled dangerous substance;(3) The quantity dispensed does not exceed a 30-day supply or unit of use; and(4) The pharmacist notifies the authorized prescriber of the refill of the prescription within 7 days of dispensing the drug.Amended by 2015 Md. Laws, Ch. 98,Sec. 1, eff. 10/1/2015.