H.B. 256

VETOES

(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

(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;

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