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The Nicotine Replacement Therapy Medication regulation was posted in the Maryland Register on October 4, 2024 and became effective October 14, 2024. Md. Code Regs. 10.34.42 Pharmacist Prescribing of a Nicotine Replacement Therapy Medication (10.34.42.01-.03) This regulation will establish standard procedures for a pharmacist to use to prescribe and dispense to a patient the appropriate nicotine replacement therapy medication; and refer the patient to a primary care practitioner for treatment; and the conditions under which a pharmacist may prescribe and dispense nicotine replacement therapy.