Per 2010 Maryland Code: HEALTH OCCUPATIONS–TITLE 12 -PHARMACISTS AND PHARMACIES, Subtitle 5 -Practice of Pharmacy and Operation of Pharmacies, Section 12-506 – Guidelines for unauthorized refills:
Under normal circumstances: A pharmacist can provide one refill of a prescription (not exceeding a 14-day supply) WITHOUT authorization. In this case the pharmacist must notify the authorized prescriber of the refill within 72 hours.
Under a state of emergency: A pharmacist can provide 1 refill not exceeding a 14-day supply. Pharmacist must notify authorized prescriber of the refill within 7 days.