PARRIS N. GLENDENING, Governor

Ch. 521

(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 ANTIALLERGY PHARMACEUTICAL AGENTS;

(III)    OCULAR ANTIBIOTICS AND COMBINATIONS OF OCULAR
ANTIBIOTICS, EXCLUDING SPECIALLY FORMULATED OR FORTIFIED ANTIBIOTICS;

(IV)    ANTIINFLAMMATORY AGENTS, EXCLUDING STEROIDS;

(V)     OCULAR LUBRICANTS AND ARTIFICIAL TEARS;

(VI)    TROPICAMIDE;

(VII)  HOMATROPINE;

(VIII) NONPRESCRIPTION DRUGS THAT ARE COMMERCIALLY
AVAILABLE; AND

(IX)    PRIMARY OPEN-ANGLE GLAUCOMA MEDICATIONS, IN
ACCORDANCE WITH SUBSECTION (C) OF THIS SECTION.

(2) IF A THERAPEUTICALLY CERTIFIED OPTOMETRIST ADMINISTERS
OR PRESCRIBES A TOPICAL THERAPEUTIC PHARMACEUTICAL AGENT LISTED IN
PARAGRAPH (1)(I) THROUGH (VII) 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 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 NOT
ADMINISTER OR PRESCRIBE:

(I) STEROIDS;

(II)     ANTIVIRAL AGENTS;

(III)   ANTIFUNGAL AGENTS;

(IV)    ANTIMETABOLITE AGENTS; OR

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