In what circumstance can a prescriber charge a fee related to contact lenses?

A prescriber can charge a fee related to contact lenses for the service of verifying ophthalmic goods obtained elsewhere because this process involves professional expertise and resources. When a patient acquires contact lenses from an alternative source, the prescriber is still responsible for ensuring the prescription's accuracy and safety. This verification process can require the prescriber to invest time and effort to confirm that the lenses are appropriate for the patient’s needs, complying with both legal and ethical standards.

In California, regulations specify that a prescriber may charge for this verification service, as it reflects the operational costs associated with ensuring patient safety and proper lens fit. This fee supports the prescriber’s role in safeguarding the patient's eye health, regardless of where the lenses are purchased.

The other options do not align with the accepted practices outlined in California Optometry laws. For instance, charging for refusing to release a prescription is not permissible, as patients are entitled to their prescriptions upon request. Similarly, charging for every contact lens fitting appointment without just cause would not align with the standard billing practices, which typically include the cost of the fitting within the overall fee for providing contact lenses. Charging only for lenses purchased through the office does not accommodate the broader scope of practice allowed by the law regarding verification of lenses from