18VAC105-20-47. Therapeutic pharmaceutical agents.
A. A TPA-certified optometrist, acting within the scope of his practice, may procure, administer, and prescribe medically appropriate therapeutic pharmaceutical agents (or any therapeutically appropriate combination thereof) to treat diseases and abnormal conditions of the human eye and its adnexa within the following categories:
1. Oral analgesics - Schedule II controlled substances consisting of hydrocodone in combination with acetaminophen and Schedule III, IV, and VI narcotic and nonnarcotic agents.
2. Topically administered Schedule VI agents:
a. Alpha-adrenergic blocking agents;
b. Alpha-adrenergic agonists;
b. c. Anesthetic (including esters and amides); c. d. Anti-allergy (including antihistamines and
mast cell stabilizers); d. e. Anti-fungal; e. f. Anti-glaucoma (including carbonic
anhydrase inhibitors and hyperosmotics); f. g. Anti-infective (including antibiotics and
antivirals); g. h. Anti-inflammatory; h. i Cycloplegics and mydriatics; i. j. Decongestants; and j. k. Immunosuppressive agents.
3. Orally administered Schedule VI agents:
a. Aminocaproic acids (including antifibrinolytic agents);
b. Anti-allergy (including antihistamines and leukotriene inhibitors);
d. Anti-glaucoma (including carbonic anhydrase inhibitors and hyperosmotics);
e. Anti-infective (including antibiotics and antivirals);
f. Anti-inflammatory (including steroidal and nonsteroidal);
g. Decongestants; and
h. Immunosuppressive agents.
B. Schedule I, II, and V drugs are excluded from the list of therapeutic pharmaceutical agents with the exception of controlled substances in Schedule II consisting of hydrocodone in combination with acetaminophen and gabapentin in Schedule V.
C. Over-the-counter topical and oral medications for the treatment of the eye and its adnexa may be procured for administration, administered, prescribed, or dispensed.