{"data":{"id":"us-md/md.-code-health-occupations-4-206.4","jurisdiction":"us-md","citation":"Md. Code, Health Occupations § 4–206.4","heading":"","body":"(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:\n(i) Topical and systemic types of prescription or over–the–counter fluoride preparations;\n(ii) Topical antimicrobial oral rinses; and\n(iii) Ibuprofen not exceeding 600 mg every 6 hours for up to 3 days after nonsurgical periodontal therapy.\n(2) A dental hygienist may not prescribe a drug:\n(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\n(ii) The prescription of which requires a federal Drug Enforcement Agency registration.\n(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:\n(1) A medication listed under subsection (a)(1) of this section;\n(2) Premedication antibiotics by mouth as required for dental treatment;\n(3) Subgingival antibiotics and antimicrobials; and\n(4) Nonopioid pain medication.\n(c) A dental hygienist may not administer a medication:\n(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;\n(2) The prescription of which requires a federal Drug Enforcement Agency registration; or\n(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.\n(d) A dental hygienist may administer a medication under subsection (b) of this section:\n(1) Under a standing order in the patient’s record that is authorized by a supervising dentist; and\n(2) If the dental hygienist includes the following information in writing in the patient’s record:\n(i) The name of the medication;\n(ii) The date and time the medication was administered;\n(iii) The route by which the medication was administered; and\n(iv) The dosage of the medication that was administered.\n(e) A dental hygienist prescribing or administering medication as authorized under this section shall prescribe or administer medication:\n(1) Under the general supervision of a licensed dentist;\n(2) In compliance with applicable regulations adopted by the Board; and\n(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.\n(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.","path":["Article - Health Occupations"],"source_url":"https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gho\u0026section=4-206.4","current_through":"2026-01-01","vintage":"","retrieved_at":"2026-09-14T19:58:58Z","sha256":"c2e62dfcfdff3ce81075791c08db0a876dacddc7ff68f3d0e1c4400d0b2890a1","source_id":"us-md","stale":false,"prev":"us-md/md.-code-health-occupations-4-206.3","next":"us-md/md.-code-health-occupations-4-207"},"notice":"GroundRules: Original legal text. Not legal advice."}