<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.28.11.02" title_num="10" subtitle_num="28" chapter_num="11" heading="Diagnostic Pharmaceutical Agents.">
  <paragraph num="A.">
    <text>An optometrist certified by the Board as qualified to administer diagnostic pharmaceutical agents may use the following agents:</text>
    <paragraph num="(1)">
      <text>Agents directly or indirectly affecting the pupil of the eye, including, but not limited to, the mydriatics and cycloplegics listed below:</text>
      <paragraph num="(a)">
        <text>Phenylephrine hydrochloride (2.5 percent);</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Hydroxyamphetamine hydrobromide (1.0 percent);</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Cyclopentolate hydrochloride (0.5—2.0 percent);</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Tropicamide (0.5 and 1.0 percent);</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Cyclopentolate hydrochloride (0.2 percent) with phenylephrine hydrochloride (1.0 percent);</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Dapiprazole hydrochloride (0.5 percent);</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Hydroxyamphetamine hydrobromide (1.0 percent) and tropicamide (0.25 percent); and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Agents directly or indirectly affecting the sensitivity of the cornea, including, but not limited to, the:</text>
      <paragraph num="(a)">
        <text>Topical anesthetics listed below:</text>
        <paragraph num="(i)">
          <text>Proparacaine hydrochloride (0.5 percent); and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Tetracaine hydrochloride (0.5 percent);</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Diagnostic topical anesthetic and dye combinations listed below:</text>
        <paragraph num="(i)">
          <text>Benoxinate hydrochloride (0.4 percent)—fluorescein sodium (0.25 percent); and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Proparacaine hydrochloride (0.5 percent)—fluorescein sodium (0.25 percent).</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The optometrist may use the diagnostic pharmaceutical agents listed in §A of this regulation in strengths not greater than the strengths indicated unless clinically indicated.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The optometrist may not dispense diagnostic pharmaceutical agents to patients for self-administration.</text>
  </paragraph>
</regulation>