Ch. 521                                        1995 LAWS OF MARYLAND

(V) ANTIPARASITIC AGENTS.

(5) A THERAPEUTICALLY CERTIFIED OPTOMETRIST MAY DISPENSE A
TOPICAL THERAPEUTIC PHARMACEUTICAL AGENT LISTED IN PARAGRAPH (1) OF
THIS SUBSECTION ONLY IF:

(I) NO CHARGE IS IMPOSED FOR THE THERAPEUTIC
PHARMACEUTICAL AGENT OR FOR DISPENSING THE AGENT; AND

(II) THE AMOUNT DISPENSED DOES NOT EXCEED A 72-HOUR
SUPPLY, EXCEPT THAT IF THE MINIMUM AVAILABLE QUANTITY FOR DISPENSING IS
GREATER THAN A 72-HOUR SUPPLY, THE MINIMUM AVAILABLE QUANTITY MAY BE
DISPENSED.

(C) (1) A THERAPEUTICALLY CERTIFIED OPTOMETRIST MAY ADMINISTER
AND PRESCRIBE TOPICAL THERAPEUTIC PHARMACEUTICAL AGENTS FOR
GLAUCOMA ONLY:

(I)      FOR PATIENTS WITH PRIMARY OPEN-ANGLE GLAUCOMA;

(II)     AFTER THE OPTOMETRIST REFERS THE PATIENT TO AN
OPHTHALMOLOGIST; AND

(III)    AFTER THE OPHTHALMOLOGIST AND OPTOMETRIST JOINTLY
AND PROMPTLY DEVELOP A WRITTEN INDIVIDUALIZED TREATMENT PLAN THAT IS
SIGNED BY THE OPHTHALMOLOGIST AND OPTOMETRIST AND INCLUDES:

1.        ALL TESTS AND EXAMINATIONS THAT LED TO THE
DIAGNOSIS;

2.        AN INITIAL SCHEDULE OF ALL TESTS AND
EXAMINATIONS NECESSARY TO TREAT THE PATIENT'S CONDITION;

3.        A MEDICATION PLAN;

4.        A TARGET INTRAOCULAR PRESSURE; AND

5.        CRITERIA FOR SURGICAL INTERVENTION BY THE
OPHTHALMOLOGIST.

(2) (I) A TREATMENT PLAN DEVELOPED UNDER THIS SUBSECTION
MAY BE MODIFIED ONLY AFTER BOTH THE OPTOMETRIST AND THE
OPHTHALMOLOGIST CONSULT TOGETHER AND CONSENT TO THE MODIFICATION.

(II) EACH MODIFICATION SHALL BE NOTED IN THE OPTOMETRIC
RECORD OF THE PATIENT.

(3) A THERAPEUTICALLY CERTIFIED OPTOMETRIST WHO TREATS A
PATIENT WITH PRIMARY OPEN-ANGLE GLAUCOMA IN ACCORDANCE WITH THIS
SECTION:

(I) SHALL REFER THE PATIENT TO AN OPHTHALMOLOGIST AT
LEAST ONCE A YEAR AFTER THE INITIAL MANDATORY REFERRAL UNDER
PARAGRAPH (1) OF THIS SUBSECTION;

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