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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 Services Australia.

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 Services Australia 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.

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  • MPMedical Practitioner
  • MWMidwife
  • NPNurse Practitioner
  • OPOptometrist
  • SO
    Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.
    Supply Only
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 5544T BETAXOLOLbetaxolol 0.5% eye drops, 5 mL 1 1 5
OP 10053D BIMATOPROSTbimatoprost 0.03% eye drops, 30 x 0.4 mL ampoules 1 1 5
OP 5551E BIMATOPROSTbimatoprost 0.03% eye drops, 3 mL 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 ampoules 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-974Pcarbomer-974P 0.3% eye gel, 30 x 500 mg ampoules 3 3 5
OP 5503P CARBOMER-980carbomer-980 0.2% eye gel, 10 g 1 1 5
OP 5504Q CARBOMER-980carbomer-980 0.2% eye drops, 30 x 600 mg ampoules 3 3 5
OP 5508X CARMELLOSE SODIUMcarmellose sodium 1% eye drops, 15 mL 1 1 5
OP 5505R CARMELLOSE SODIUMcarmellose sodium 1% eye drops, 30 x 0.4 mL ampoules 3 3 5
OP 5507W CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 15 mL 1 1 5
OP 5506T CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 30 x 0.4 mL ampoules 3 3 5
OP 11853W CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 10 mL 1 1 5
OP 5556K CARMELLOSE SODIUM + GLYCEROLcarmellose sodium 0.5% + glycerol 0.9% eye drops, 15 mL 1 1 3
MPMWNPOP 11112W CHLORAMPHENICOLchloramphenicol 0.5% eye drops, 10 mL 1 1 2
MPOP 12663L CICLOSPORINciclosporin 0.1% eye drops, 30 x 0.3 mL ampoules 1 1 5
MPOP 13284E CICLOSPORINciclosporin 0.09% eye drops, 60 x 0.25 mL ampoules 1 1 5
OP 5564W CIPROFLOXACINciprofloxacin 0.3% eye drops, 5 mL 2 2 0
OP 5565X DEXAMETHASONEdexamethasone 0.1% eye drops, 5 mL 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 ampoules 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 2184Y HYALURONATE SODIUMhyaluronate sodium 0.1% eye drops, 10 mL 1 1 5
OP 2171G HYALURONATE SODIUMhyaluronate sodium 0.2% eye drops, 10 mL 1 1 5
OP 5516H HYDROCORTISONE ACETATEhydrocortisone acetate 1% eye ointment, 5 g 1 1 0
OP 11849P HYPROMELLOSEhypromellose 0.3% w/v eye drops, 10 mL 1 1 5
OP 5517J HYPROMELLOSEhypromellose 0.5% eye drops, 15 mL 1 1 5
OP 11634H HYPROMELLOSEhypromellose 0.3% w/w eye drops, 10 mL 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
MPNPOP 12612T LIQUID PARAFFIN + GLYCEROL + TYLOXAPOL + POLOXAMER-188 + TROMETAMOL HYDROCHLORIDE + TROMETAMOL + CETALKONIUM CHLORIDEliquid paraffin + glycerol + tyloxapol + poloxamer-188 + trometamol hydrochloride + trometamol + cetalkonium chloride eye drops, 10 mL 1 1 5
OP 5567B OFLOXACINofloxacin 0.3% eye drops, 5 mL 2 2 0
OP 5523Q PARAFFINparaffin 1 g/g eye ointment, 3.5 g 2 2 5
OP 5522P PARAFFINparaffin 1 g/g eye ointment, 2 x 3.5 g 1 1 5
OP 11439C PERFLUOROHEXYLOCTANEperfluorohexyloctane 100% eye drops, 3 mL 1 1 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 13113E POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOLpolyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 30 x 0.8 mL unit doses 2 2 5
OP 5568C PREDNISOLONE ACETATE + PHENYLEPHRINEprednisolone acetate 1% + phenylephrine hydrochloride 0.12% eye drops, 10 mL 1 1 0
OP 2167C RETINOL PALMITATE + PARAFFINretinol palmitate 0.0138% + paraffin eye ointment, 5 g 2 2 5
OP 5545W SOY LECITHIN + TOCOPHEROL + VITAMIN Asoy lecithin 1% + tocopherol 0.002% + vitamin A palmitate 0.025% spray, 100 actuations 2 2 5
OP 2748P TAFLUPROSTtafluprost 0.0015% eye drops, 30 x 0.3 mL ampoules 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