Section 4-206.4 - Prescription and administration of medication(a)(1) Except as provided in paragraph (2) of this subsection, a dental hygienist who complies with subsections (e) and (f) of this section may prescribe: (i) Topical and systemic types of prescription or over-the-counter fluoride preparations;(ii) Topical antimicrobial oral rinses; and(iii) Ibuprofen not exceeding 600 mg every 6 hours for up to 3 days after nonsurgical periodontal therapy.(2) A dental hygienist may not prescribe a drug:(i) That is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article or a controlled substance as defined by 21 U.S.C. § 812; or(ii) The prescription of which requires a federal Drug Enforcement Agency registration.(b) Except as provided in subsection (c) of this section, a dental hygienist who complies with subsections (e) and (f) of this section may administer medication, including: (1) A medication listed under subsection (a)(1) of this section;(2) Premedication antibiotics by mouth as required for dental treatment;(3) Subgingival antibiotics and antimicrobials; and(4) Nonopioid pain medication.(c) A dental hygienist may not administer a medication: (1) That is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article or a controlled substance as defined by 21 U.S.C. § 812;(2) The prescription of which requires a federal Drug Enforcement Agency registration; or(3) Except for local anesthesia administered in accordance with § 4-206.1 or § 4-206.3 of this subtitle, that is administered by intramuscular, subcutaneous, intravenous, or intradermal injection.(d) A dental hygienist may administer a medication under subsection (b) of this section: (1) Under a standing order in the patient's record that is authorized by a supervising dentist; and(2) If the dental hygienist includes the following information in writing in the patient's record: (i) The name of the medication;(ii) The date and time the medication was administered;(iii) The route by which the medication was administered; and(iv) The dosage of the medication that was administered.(e) A dental hygienist prescribing or administering medication as authorized under this section shall prescribe or administer medication:(1) Under the general supervision of a licensed dentist;(2) In compliance with applicable regulations adopted by the Board; and(3) In compliance with applicable provisions of Title 12 of this article and Title 21 of the Health - General Article regarding prescription packaging, labeling, and record keeping.(f) Before prescribing or administering medication as authorized under this section, a dental hygienist shall complete any educational requirements established by the Board under § 4-205(a)(1)(xi) of this subtitle through an accredited dental hygiene program.Added by 2020 Md. Laws, Ch. 311,Sec. 1, eff. 10/1/2020.