MedicaidAdministrativeLow impact
Clarification of Tamper-Resistant Prescription Requirements for Nursing Homes
Maryland Medicaid·MD · Pharmacy, Geriatrics·Nursing Home
Effective date
Apr 1, 2008
We identified it
Jun 20, 2026
Summary
Maryland clarified that nursing home prescriptions don't require tamper-resistant prescription pads when patients never physically handle the prescription (e.g., doctor writes order in medical record and staff delivers directly to pharmacy). The tamper-resistant requirement deadline was extended from October 1, 2007 to April 1, 2008.
Action Required
Maryland nursing home providers only: Verify that your prescription ordering process ensures patients never physically handle written prescriptions when drugs are separately reimbursed by Medicaid. Document that prescriptions go directly from medical staff to pharmacy to qualify for tamper-resistant exemption.