← Back to the map

Maryland stock epinephrine law

Maryland does not issue a statewide standing order. You'll need a prescriber to sign one.

Last checked 2026-08-14. Every row below links to its own source.

Statewide standing order

No[NO]

No statewide standing order, but MDH certification lets a certified individual obtain auto-injectors from a pharmacy without an individual prescription. Certificates go to employees, not facilities.

MDH Emergency Use Auto-Injectable Epinephrine Program

Read the source →

How to get it in Maryland

Two documents: a prescription in your organization's name, and a standing order saying when trained staff may use it.

Everyone
Maryland does not issue a statewide standing order, so a prescriber signs yours. Any physician can, and in most states a nurse practitioner or PA can too.

Free medication, if you are a K-12 school

Maryland permits nasal spray for undesignated stock use, so neffyinSchools applies here as well as EPIPEN4SCHOOLS. See both programs.

Then the devices

Buy standard auto-injectors through your usual pharmacy or medical supplier, which is what most organizations do.

The two documents you need, and who can sign them →

Every status for Maryland

Schools — stock epinephrine

Permitted[PERMITTED]

Trackers conflict on this. Resolved: the POLICY is mandatory, but the policy need only AUTHORIZE a nurse to obtain and store epinephrine. Stocking itself is not mandated.

Citation
Md. Educ. §7-426.2 (Ch. 711 of 2025)
Verified
2026-08-14
Confidence
HIGH

Nasal spray allowed for stock use

Yes[YES]

'Emergency use epinephrine' defined as a device or product with a premeasured single dose.

Citation
Ch. 711 of 2025 (HB 420)
Verified
2026-08-28
Confidence
HIGH

Childcare

Policy / training required[POLICY / TRAINING REQUIRED]

Allergen policy required; stocking not mandated.

Citation
Elijah's Law, Ch. 273 of 2024 (HB 1195)
Verified
2026-08-14
Confidence
HIGH

Other public places

Permitted[PERMITTED]

Narrow: youth camps, food service facilities, and higher education only. Auto-injector only on this side.

Citation
Health-Gen. §§13-701 to 13-708; §§13-7A-01 to 13-7A-09
Verified
2026-08-14
Confidence
HIGH

This page is a starting point, not legal advice.

Laws change frequently and we may not have caught the latest amendment in Maryland. Confirm with your state department of health or education, your district's counsel, or your medical director before relying on it.

All jurisdictions →

Report an update

If something here is wrong or out of date, tell us. We'd rather hear it from you than have a school nurse act on a stale row.

$85 per cabinet · volume pricing

Request a Quote