§ 7101-a. Certification to use therapeutic drugs. 1. Definitions. As\nused in this section, the following terms shall have the following\nmeanings:\n (a) Clinical training. Clinical training shall mean the diagnosis,\ntreatment and management of patients with ocular disease and shall be\ncomparable to that acquired by a current graduate of the State\nUniversity College of Optometry.\n (b) Consultation. Consultation shall mean a confirmation of the\ndiagnosis, a plan of co-management of the patient, and a periodic review\nof the patient's progress.\n (c) Education review committee. Education review committee shall mean\nthe committee established pursuant to subdivision nine of this section.\n (d) Diagnostic pharmaceuticals. Diagnostic pharmaceuticals shall mean\nthose drugs which shall be limited to topical applications to the\nsurface of the eye for the purpose of diagnostic examination of the eye\nand shall be limited to:\n (i) Anesthetic agents;\n (ii) Mydriatics;\n (iii) Cycloplegics;\n (iv) Miotics;\n (v) Disclosing agents and other substances used in conjunction with\nthese drugs as part of a diagnostic procedure.\n (e) Topical therapeutic pharmaceutical agents. Topical therapeutic\npharmaceutical agents shall mean those drugs which shall be limited to\ntopical application to the surface of the eye for therapeutic purposes\nand shall be limited to:\n (i) antibiotic/antimicrobials;\n (ii) decongestants/anti-allergenics;\n (iii) non-steroidal anti-inflammatory agents;\n (iv) steroidal anti-inflammatory agents;\n (v) antiviral agents;\n (vi) hyperosmotic/hypertonic agents;\n (vii) cycloplegics;\n (viii) artificial tears and lubricants; and\n (ix) immunosuppressive agents.\n (e-1) Nasal sprays as topical therapeutic pharmaceutical agents.\nTopical therapeutic pharmaceutical agents shall also include those drugs\nlisted in subparagraph (iii) of paragraph (f) of this subdivision that\nare administered through a nasal spray for the treatment of dry eye\ndisease.\n (f) Therapeutic pharmaceutical agents for treatment of glaucoma and\nocular hypertension. Therapeutic pharmaceutical agents for treatment of\nglaucoma and ocular hypertension shall mean those drugs which shall be\nlimited to topical application to the surface of the eye and shall be\nlimited to:\n (i) beta blockers;\n (ii) alpha agonists;\n (iii) direct acting cholinergic agents;\n (iv) prostaglandin analogs; and\n (v) carbonic anhydrase inhibitors.\n (g) Oral therapeutic pharmaceutical agents. Oral therapeutic\npharmaceutical agents shall mean those orally administered drugs used\nfor therapeutic purposes solely for the treatment of diseases of the eye\nand adnexa and shall be limited to:\n (i) the following antibiotics:\n (1) amoxicillin/clavulanate potassium;\n (2) cephalexin;\n (3) azithromycin;\n (4) sulfamethoxazole/trimethoprim;\n (5) doxycycline; and\n (6) tetracycline;\n (ii) the following antiglaucoma agents used for the management of\nacute increases in intraocular pressure; provided, however, an\noptometrist may use or prescribe a maximum of one twenty-four hour\nprescription and shall immediately refer the patient to a licensed\nphysician specializing in diseases of the eye:\n (1) acetazolamide; and\n (2) methazolamide; and\n (iii) the following antiviral agents used for herpes zoster\nophthalmicus; provided an optometrist shall use or prescribe in maximum,\none seven-day prescription; provided, however, if a patient is diagnosed\nwith herpes zoster ophthalmicus and has not already been examined by a\nprimary care physician or other appropriate physician for such viral\ncondition, an optometrist shall refer the patient to a licensed primary\ncare physician, licensed physician specializing in diseases of the eye,\nor other appropriate physician within three days of such diagnosis:\n (1) valacyclovir; and\n (2) acyclovir.\n 2. Standard of care. An optometrist authorized to use pharmaceutical\nagents for use in the dia
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