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Optometrist PBS prescribing

PREPARATIONS WHICH MAY BE PRESCRIBED BY AUTHORISED OPTOMETRISTS

From 1 January 2008, optometrists accredited to prescribe under State or Territory legislation can apply for approval as PBS prescribers (authorised optometrists) Information for optometrists on becoming a PBS prescriber is available from the Department of Human Services.

The medications listed for prescribing by authorised optometrists are identified by 'OP' in the PBS Schedule.  Optometrists must not write PBS prescriptions for any other medicines listed on the PBS.

The Pharmaceutical Benefits Advisory Committee (PBAC) is responsible for making recommendations to the Minister of Health regarding preparations for prescribing by authorised optometrists.

Some products are included in more than one section of the Schedule, and for more than one prescriber type.  For a prescription to be eligible for subsidy, prescribers must ensure that they prescribe under the PBS only those medicines, and in accordance with the restrictions, listed for their practitioner type.

Optometrist PBS prescriptions are identifiable by colour, and include the words ‘PBS/RPBS optometrist’. Prescriptions must include the optometrist’s PBS prescriber number. The same optometrist prescription form is used to prescribe unrestricted, restricted or authority items. Only one item is allowed per form. Optometrist PBS prescriptions may include repeats. 

Regulation 24 does not apply for optometrist prescribing. An optometrist cannot direct that original and repeat supplies of pharmaceutical benefits be supplied at the one time.

Authority prescriptions: Authority prescriptions for authority required items, or for increased quantities or repeats, require prior approval from the Department of Human Services or the Department of Veterans’ Affairs (DVA) for each prescription.  (Refer to Prescribing Medicines — Information for PBS prescribers and Supplying Medicines — What Pharmacists Need to Know, for more information on authority prescriptions.) DVA approval for non-Schedule items is not available for optometrist prescribing.

RPBS: Optometrists approved as PBS prescribers may write prescriptions for supply under the RPBS.  The medicines available for prescribing by authorised optometrists under the RPBS are the same as those available under the PBS.  There are no optometrist listings in the Repatriation Schedule for prescribing for veterans only.  There is no provision for optometrist prescribers to request approval to prescribe items that are not included in the PBS Schedule (non-Schedule items).  

State and Territory requirements: Optometrists may prescribe medications as private prescriptions according to their State/Territory prescribing accreditation. The medicines which can be prescribed differ between States and Territories. It is the optometrist’s responsibility to ensure adherence to State/Territory law for all prescriptions (PBS and private) and additionally to all PBS requirements for PBS/RPBS prescriptions.

  • Legend
  • OPOptometrist
Prescriber code Item code Name, manner of administration and form & strength Max qty
packs
Max qty
units
No. of
repeats
OP 5501M ACICLOVIRaciclovir 3% eye ointment, 4.5 g 1 1 0
OP 5543R BETAXOLOLbetaxolol 0.25% eye drops, 5 mL 1 1 5
OP 5544T BETAXOLOLbetaxolol 0.5% eye drops, 5 mL 1 1 5
OP 5551E BIMATOPROSTbimatoprost 0.03% eye drops, 3 mL 1 1 5
OP 10053D BIMATOPROSTbimatoprost 0.03% eye drops, 30 x 0.4 mL unit doses 1 1 5
OP 5558M BIMATOPROST + TIMOLOLbimatoprost 0.03% + timolol 0.5% eye drops, 3 mL 1 1 5
OP 10108B BIMATOPROST + TIMOLOLbimatoprost 0.03% + timolol 0.5% eye drops, 30 x 0.4 mL unit doses 1 1 5
OP 5563T BRIMONIDINEbrimonidine tartrate 0.15% eye drops, 5 mL 1 1 5
OP 5534G BRIMONIDINEbrimonidine tartrate 0.2% eye drops, 5 mL 1 1 5
OP 5535H BRIMONIDINE + TIMOLOLbrimonidine tartrate 0.2% + timolol 0.5% eye drops, 5 mL 1 1 5
OP 5540N BRINZOLAMIDEbrinzolamide 1% eye drops, 5 mL 1 1 5
OP 10547D BRINZOLAMIDE + BRIMONIDINEbrinzolamide 1% + brimonidine tartrate 0.2% eye drops, 5 mL 1 1 5
OP 5562R BRINZOLAMIDE + TIMOLOLbrinzolamide 1% + timolol 0.5% eye drops, 5 mL 1 1 5
OP 5502N CARBOMER-974carbomer-974 0.3% eye gel, 30 x 500 mg unit doses 3 3 5
OP 5504Q CARBOMER-980carbomer-980 0.2% eye drops, 30 x 0.6 mL unit doses 3 3 5
OP 5503P CARBOMER-980carbomer-980 0.2% eye gel, 10 g 1 1 5
OP 5508X CARMELLOSE SODIUMcarmellose sodium 1% (10 mg/mL) eye drops, 15 mL 1 1 5
OP 5505R CARMELLOSE SODIUMcarmellose sodium 1% (4 mg/0.4 mL) eye drops, 30 x 0.4 mL unit doses 3 3 5
OP 5509Y CARMELLOSE SODIUMcarmellose sodium 0.25% (1.5 mg/0.6 mL) eye drops, 24 x 0.6 mL unit doses 4 4 5
OP 5507W CARMELLOSE SODIUMcarmellose sodium 0.5% (5 mg/mL) eye drops, 15 mL 1 1 5
OP 5506T CARMELLOSE SODIUMcarmellose sodium 0.5% (2 mg/0.4 mL) eye drops, 30 x 0.4 mL unit doses 3 3 5
OP 5510B CARMELLOSE SODIUMcarmellose sodium 1% (6 mg/0.6 mL) eye gel, 28 x 0.6 mL unit doses 3 3 5
OP 5556K CARMELLOSE SODIUM + GLYCEROLcarmellose sodium 0.5% + glycerol 0.9% eye drops, 15 mL 1 1 3
OP 5564W CIPROFLOXACINciprofloxacin 0.3% eye drops, 5 mL 2 2 0
OP 5529B CROMOGLYCATEsodium cromoglycate 2% eye drops, 10 mL 1 1 5
OP 5565X DEXAMETHASONEDEXAMETHASONE Eye drops 1 mg per mL (0.1%), 5 mL, 1 1 1 0
OP 5520M DEXTRAN-70 + HYPROMELLOSEdextran-70 0.1% + hypromellose 0.3% eye drops, 15 mL 1 1 5
OP 5521N DEXTRAN-70 + HYPROMELLOSEdextran-70 0.1% + hypromellose 0.3% eye drops, 28 x 0.4 mL unit doses 3 3 5
OP 5541P DORZOLAMIDEdorzolamide 2% eye drops, 5 mL 1 1 5
OP 5542Q DORZOLAMIDE + TIMOLOLdorzolamide 2% + timolol 0.5% eye drops, 5 mL 1 1 5
OP 5513E FLUOROMETHOLONEfluorometholone 0.1% eye drops, 5 mL 1 1 0
OP 5533F FLUOROMETHOLONE ACETATEfluorometholone acetate 0.1% eye drops, 5 mL 1 1 0
OP 5557L FRAMYCETIN SULFATEframycetin sulfate 0.5% eye/ear drops, 8 mL 1 1 2
OP 5566Y GENTAMICINgentamicin 0.3% eye drops, 5 mL 1 1 2
OP 5516H HYDROCORTISONE ACETATEhydrocortisone acetate 1% eye ointment, 5 g 1 1 0
OP 5518K HYPROMELLOSEHYPROMELLOSE Eye drops 3 mg per mL (0.3%), 15 mL (contains sodium perborate as preservative), 1 1 1 5
OP 5517J HYPROMELLOSEHYPROMELLOSE Eye drops 5 mg per mL (0.5%), 15 mL, 1 1 1 5
OP 5519L HYPROMELLOSE + CARBOMER-980hypromellose 0.3% + carbomer-980 0.2% eye gel, 10 g 1 1 5
OP 5552F LATANOPROSTlatanoprost 0.005% eye drops, 2.5 mL 1 1 5
OP 5553G LATANOPROST + TIMOLOLlatanoprost 0.005% + timolol 0.5% eye drops, 2.5 mL 1 1 5
OP 5567B OFLOXACINofloxacin 0.3% eye drops, 5 mL 2 2 0
OP 2167C PARAFFINparaffin + retinol palmitate 0.0138% eye ointment, 5 g 2 2 5
OP 5522P PARAFFINparaffin 1 g/g eye ointment, 2 x 3.5 g 1 1 5
OP 5523Q PARAFFINparaffin 1 g/g eye ointment, 3.5 g 2 2 5
OP 5536J PILOCARPINEpilocarpine hydrochloride 1% eye drops, 15 mL 1 1 5
OP 5537K PILOCARPINEpilocarpine hydrochloride 2% eye drops, 15 mL 1 1 5
OP 5538L PILOCARPINEpilocarpine hydrochloride 4% eye drops, 15 mL 1 1 5
OP 5524R POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOLpolyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 15 mL 1 1 5
OP 5532E POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOLpolyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses 2 2 5
OP 5527X POLYVINYL ALCOHOLpolyvinyl alcohol 1.4% eye drops, 15 mL 1 1 5
OP 5526W POLYVINYL ALCOHOLpolyvinyl alcohol 1.4% eye drops, 15 mL 1 1 5
OP 5528Y POLYVINYL ALCOHOLpolyvinyl alcohol 3% eye drops, 15 mL 1 1 5
OP 5568C PREDNISOLONE ACETATE + PHENYLEPHRINEprednisolone acetate 1% + phenylephrine hydrochloride 0.12% eye drops, 10 mL 1 1 0
OP 2184Y SODIUM HYALURONATEsodium hyaluronate 0.1% (1 mg/mL) eye drops, 10 mL 1 1 5
OP 2171G SODIUM HYALURONATEsodium hyaluronate 0.2% (2 mg/mL) eye drops, 10 mL 1 1 5
OP 5545W SOY LECITHIN + TOCOPHEROL + VITAMIN Asoy lecithin 1% + tocopherol 0.002% + vitamin A palmitate 0.025% eye spray, 100 actuations 2 2 5
OP 2748P TAFLUPROSTtafluprost 0.0015% eye drops, 30 x 0.3 mL unit doses 1 1 5
OP 5546X TIMOLOLtimolol 0.1% eye gel, 5 g 1 1 5
OP 5549C TIMOLOLtimolol 0.25% eye drops, 2.5 mL 1 1 5
OP 5550D TIMOLOLtimolol 0.5% eye drops, 2.5 mL 1 1 5
OP 5548B TIMOLOLtimolol 0.5% eye drops, 5 mL 1 1 5
OP 5569D TOBRAMYCINtobramycin 0.3% eye drops, 5 mL 1 1 2
OP 5570E TOBRAMYCINtobramycin 0.3% eye ointment, 3.5 g 1 1 0
OP 5554H TRAVOPROSTtravoprost 0.004% eye drops, 2.5 mL 1 1 5
OP 5555J TRAVOPROST + TIMOLOLtravoprost 0.004% + timolol 0.5% eye drops, 2.5 mL 1 1 5