Pennsylvania administrative code

Drugs which may be used by certain optometrists
Approved drugs.
(a) Administration and prescription of pharmaceutical agents. Optometrists who are certified to prescribe and administer pharmaceutical agents for therapeutic purposes under section 4.1 of the Optometric Practice and Licensure Act (35 P. S. § 244.4a), may prescribe and administer the drugs listed in subsection (b) in their practice of optometry. (b) Allowable pharmaceutical products. Optometrists may prescribe and administer the following pharmaceutical products or the A-rated generic therapeutically equivalent drug: (A) Pilocarpine nitrate and pilocarpine hydrochloride—diagnostic use only. (iv) Adrenergic antagonists—diagnostic use only. (6) Nonsteroidal antiinflammatory drugs—topical only. (C) Intermediary metabolism inhibitors. (I) Sodium sulfacetamide and sulfisoxazole. (I) Penicillins—including in combination with clavulanic acid. (-1-) First generation—cephalexin and cefadroxil. (-2-) Second generation—cefaclor and cefuroxime. (v) Antifungal and antiparasitic—topical only. (A) Amphotericin B, nystatin, natamycin. (B) Miconazole, ketoconazole, clotrimazole. (8) Analgesic drugs—oral and topical. (A) Codeine in combination with acetaminophen or aspirin. (ii) Antihistamines and mast cell stabilizers—topical only.
Additional Drugs Approved by Secretary of Health
April 5, 2003

Drugs approved for use by all therapeutically-certified optometrists:
Topical Steroids
Oral Steroids
Commercially-available combination of drugs approved for use by optometrists.
Drugs approved for use by optometrists certified to treat GLAUCOMA
Beta Adrenergic Receptor Blockers
Cholinergic Receptor Agonists
Direct Acting
Pilocarpine Carbachol Indirect Acting Physostigmine Demecarium Echothiophate Iodide Adrenergic Receptor Agonists Non-Selective Epinephrine Dipivefrin Selective Alpha 2 Agonists Apraclonidine Brimonidine Topical Carbonic Anhydrase Inhibitors Dorzolamide Brinzolamide Prostaglandin Analogs Eicosanoid Derivatives Latanoprost Travoprost Bimatoprost Docosanoid Derivatives Unoprostone Commercially-available combination of drugs approved for use by optometrists.
June 28, 2003
Topical Antibacterial
Providone-iodine (Betadine)
October 4, 2003
Topical Solutions*
Maxifloxacin (Vigamox)
Gatifloxacin (Zymar)
Cyclosporine Ophthalmic Emulsion
*Topical solutions and products only, not oral or injectable formulations.
March 2004
The Pennsylvania State Board of Optometry recently clarified that IQUIX, a new commercially
available concentration of levofloxacin, is available for prescription by optometrists.
May 22, 2004
Elestat (epinastine HCL ophthalmic solution)
September 16, 2006
Nepafenac (Nevenac®) ophthalmic solution
Bromfenac (Xibrom®) ophthalmic solution
December 8, 2007
Zylet (Loteprednol Etabonate/Tobramycin combination) ophthalmic suspension


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