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2005 LAWS OF MARYLAND
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Ch. 391
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(b) (1) A therapeutically certified optometrist may administer and prescribe
topical therapeutic pharmaceutical agents limited to:
(i) Ocular antihistamines, decongestants, and combinations
thereof!, excluding steroids];
(II) OCULAR ANTIVIRAL AGENTS;
[(ii)](III) Ocular antiallergy pharmaceutical agents;
[(iii)](IV) Ocular antibiotics and combinations of ocular antibiotics,
excluding specially formulated or fortified antibiotics;
[(iv)](V) Anti-inflammatory agents[, excluding steroids];
[(v)](VI) Ocular lubricants and artificial tears;
[(vi)](VII) Tropicamide;
[(vii)](VIII) Homatropine;
[(viii)](LX) Nonprescription drugs that are commercially available;
and
[(ix}](X) Primary open-angle glaucoma medications, in accordance
with subsection (c) of this section.
(2) If EXCEPT AS PROVIDED IN PARAGRAPH (4) OF THIS SUBSECTION, IF
a therapeutically certified optometrist administers or prescribes a topical therapeutic
pharmaceutical agent listed in paragraph (1)(i) through [(vii)] (VIII) of this
subsection, and the patient does not have the expected response within 72 hours:
(i) The therapeutically certified optometrist shall consult with an
ophthalmologist; and
(ii) The ophthalmologist may determine that the ophthalmologist
needs to physically examine the patient.
(3) If EXCEPT AS PROVIDED IN PARAGRAPH (4) OF THIS SUBSECTION, IF
a therapeutically certified optometrist administers or prescribes a topical therapeutic
pharmaceutical agent under paragraph (2) of this subsection, the therapeutically
certified optometrist shall communicate with the patient to determine the response of
the patient to the therapeutic pharmaceutical agent as soon as practicable after 72
hours of the time the agent was administered or prescribed.
(4) A THERAPEUTICALLY CERTIFIED OPTOMETRIST MAY ADMINISTER
OR PRESCRIBE TOPICAL STEROIDS IN ACCORDANCE WITH A PRACTICE PROTOCOL
ESTABLISHED BY THE BOARD.
(4) (5) A therapeutically certified optometrist may not administer or
prescribe:
[(i) Steroids;
- 1812 -
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