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Maryland Board of Physicians
P.O. Box 2571; Baltimore, MD 21215
www.mbp.state.md.usRevised
10/2019MODIFICATION OF EXISTING DELEGATION AGREEMENT
ADDING DISPENSING OF PRESCRIPTION DRUGS
Instructions:
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How to fill out dispensing modification - delegation

How to fill out dispensing modification - delegation
01
To fill out dispensing modification - delegation, follow these steps:
02
Begin by entering the necessary personal information of the individual who needs the modification - delegation.
03
Provide details about the current dispensing process and highlight the specific areas that require modification.
04
Clearly state the reason behind the need for delegation and specify the tasks that will be delegated.
05
Include any supporting documents or evidence that can support the request for modification - delegation.
06
Mention any specific guidelines or requirements that should be followed during the delegation process.
07
If applicable, outline the duration or time frame for which the modification - delegation is needed.
08
Conclude the dispensing modification - delegation form by providing contact information for any further inquiries or communication.
09
Review the filled-out form for accuracy and completeness before submitting it.
Who needs dispensing modification - delegation?
01
Dispensing modification - delegation may be needed by individuals who are temporarily or permanently unable to perform certain dispensing tasks due to physical limitations or other circumstances.
02
This could include individuals with disabilities, medical conditions, or individuals who require assistance due to their age or other factors.
03
The decision to delegate dispensing modifications should be influenced by the individual's specific needs and the availability of a qualified delegate who can perform the tasks accurately and safely.
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What is dispensing modification - delegation?
Dispensing modification - delegation is a process where a pharmacist delegates tasks related to medication dispensing to qualified pharmacy technicians under specific guidelines and supervision.
Who is required to file dispensing modification - delegation?
Pharmacists who wish to delegate dispensing tasks to pharmacy technicians are required to file dispensing modification - delegation.
How to fill out dispensing modification - delegation?
To fill out dispensing modification - delegation, pharmacists need to submit a written delegation plan outlining the tasks being delegated and providing training and supervision protocols.
What is the purpose of dispensing modification - delegation?
The purpose of dispensing modification - delegation is to increase efficiency in pharmacy operations by allowing pharmacy technicians to assist in medication dispensing under pharmacist supervision.
What information must be reported on dispensing modification - delegation?
The dispensing modification - delegation report must include details of the delegated tasks, training provided to pharmacy technicians, and supervision protocols implemented.
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