Agencies | Governor
Virginia Regulatory Town Hall
Department of Health Professions
Board of Optometry
Regulations of the Virginia Board of Optometry [18 VAC 105 ‑ 20]
Prescribing of opioids
General Information
Action Summary Emergency regulations for optometrists prescribing of controlled substances containing opioids are being promulgated as emergency regulations to address the opioid abuse crisis in Virginia. Regulations for the management of acute pain require prescribing a dosage not to exceed seven days and include requirements for the evaluation of the patient and limitations on quantity. Regulations provide requirements for prescribing an opioid beyond seven days to include a re-evaluation of the patient, check of the Prescription Monitoring Program, and specific information in the patient record. Finally, if a TPA-certified optometrist finds an opioid prescription for chronic pain is necessary, he or she is required to refer the patient to a physician or comply with Board of Medicine regulation for managing chronic pain.
Chapters Affected Only affects this chapter.
Exempt from APA No, this action is subject to the Administrative Process Act and the standard executive branch review process.
RIS Project Yes  [005205]
Note This action is not intended to satisfy the requirement that an entire regulation be reviewed every 4 years.
Stages associated with this regulatory action.
Stage ID Stage Type Status
8035 Emergency/NOIRA Stage complete. This regulation became effective on 10/30/2017 and expires on 4/29/2019.
8222 Proposed Governor's office review in progress.
Contact Information
Name / Title: Leslie L. Knachel  / Executive Director
Address: 9960 Mayland Drive
Suite 300
Richmond, VA 23233
Email Address:
Phone: (804)367-4508    FAX: (804)527-4471    TDD: ()-

This person is the primary contact for this board.