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RULE §280.10Optometric Glaucoma Specialist: Administration and Prescribing of Oral Medications and Anti-Glaucoma Drugs

      (vii) potential for impairment of judgment and motor skills.

    (D) Patients who are at-risk for abuse or addiction require special attention. Patients with chronic pain and histories of substance abuse or with comorbid psychiatric disorders require even more care. A referral to an expert in the management of such patients must be considered in their treatment.

    (E) Medical records. The medical records shall document the rationale of the treatment plan and the rationale for prescribing a Schedule III, IV or V analgesic. The medical records must be sufficient to document compliance with this rule, including, but not limited to, containing:

      (i) the medical history and the physical examination;

      (ii) diagnostic, therapeutic and laboratory results;

      (iii) evaluations and consultations;

      (iv) treatment objectives;

      (v) discussion of risks and benefits;

      (vi) informed consent;

      (vii) treatments;

      (viii) medications (including date, type, dosage and quantity prescribed); and

      (ix) instructions and agreements.

  (2) The Board may open a complaint against an optometric glaucoma specialist if the Board finds evidence that the optometric glaucoma specialist is engaging in potentially harmful prescribing patterns or practices may be occurring. A potentially harmful prescribing pattern or practice may be determined from:

    (A) the number of times an optometric glaucoma specialist prescribes a Schedule III, IV or V analgesic;

    (B) patterns of prescribing combinations of Schedule III, IV or V analgesics and other dangerous combinations of drugs;

    (C) data from the Prescription Monitoring Program indicating that the volume of prescribing places the optometric glaucoma specialist in the top prescribers in the state at any time in the preceding 12 months for prescriptions of Schedule III, IV or V analgesics, except for an optometric glaucoma specialist prescribing the drugs to treat cancer patients or patients in hospice facilities;

    (D) complaints and/or information, from non-anonymous complainants related to inappropriate prescribing practices, including those from law enforcement agencies or health care regulators;

    (E) A patient overdose death related to Schedule III, IV or V analgesics, prescribed by a optometric glaucoma specialist; or

    (F) arrest of an optometric glaucoma specialist related to improper or fraudulent prescribing of controlled substances;

  (3) Language in this section regarding the prescribing of a Schedule III, IV or V analgesic is not intended to expand the classes of drugs that may be prescribed by an optometric glaucoma specialist under subsections (a) - (e) of this section.

Source Note: The provisions of this §280.10 adopted to be effective August 3, 2000, 25 TexReg 7176; amended to be effective March 9, 2009, 34 TexReg 1591; amended to be effective January 2, 2019, 43 TexReg 8596; amended to be effective May 22, 2023, 48 TexReg 2576

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