R4-21-306. Optometric Prescription Standards; Release to Patients

A. When a licensee completes an eye examination and generates an optometric prescription, the licensee shall provide the patient with a copy of the optometric prescription without charging a fee other than the examination fee. B. A licensee shall ensure that an optometric prescription written by the licensee includes: 1. For ophthalmic lenses other than contact lenses: a. Name of the patient; b. Refractive power of the lenses; c. Printed name, office address, telephone number, and signature of the licensee; and d. Date of the examination and expiration date of the prescription; 2. For contact lenses, including plano lenses: a. Name of the patient; b. For a patient who has not completed a trial period appropriate under the circumstances and desires to have a prescription, the information required for the patient to purchase trial lenses at another optical establishment or location; c. For a patient who has completed a trial period appropriate under the circumstances for the lenses prescribed, all information necessary to reproduce the contact lenses accurately; d. Printed name, office address, telephone number, license number, and signature of the licensee; e. Date of the examination and the issue and expiration date of the prescription; and f. Information regarding the prescribed contact lenses: i. Refractive power; ii. Base curve or other appropriate designation; iii. Diameter, if appropriate; iv. Tint, if applicable; v. Material, manufacturer, or both; and vi. In the case of private-label contact lenses, manufacturer, trade name, and, if applicable, trade name of equivalent brand name; and 3. For pharmaceutical agents: a. Name and address of the patient; b. Date the prescription is issued; c. Name, strength, and quantity of the pharmaceutical agent prescribed; d. Directions for use of the pharmaceutical agent prescribed; e. Name, office address, and telephone number of the prescribing licensee; f. When prescribing controlled substances, the DEA number of the prescribing licensee; g. Two adjacent signature lines with the following printed words: i. “Dispense as written” under the left signature line, and ii. “Substitution permissible” under the right signature line; and h. Original signature of the prescribing licensee on one of the signature lines; and 4. Additional information that the licensee considers necessary. C. A licensee who dispenses or directs the dispensing of ophthalmic materials shall ensure that a prescription is filled accurately. D. A licensee shall be available to verify that a prescription written by the licensee but filled by another provider of ophthalmic goods is accurately filled. The licensee may charge a fee for verifying the accuracy or quality of ophthalmic goods dispensed by another provider. E. A licensee shall not: 1. Require purchase of contact lenses from the prescriber or from another person as a condition of providing a copy of the prescription; 2. Require a payment in addition to, or as part of, the fee for an eye examination, fitting, and evaluation as a condition of providing a copy of a prescription or verification of a prescription; 3. Require the patient to sign a waiver or release as a condition of verifying or releasing a prescription.