1.  The form for any prescription which is issued for an ophthalmic lens by an ophthalmologist in this State must contain lines or boxes in substantially the following form:

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2.  The prescribing ophthalmologist shall mark or check one of the lines or boxes required by subsection 1 each time such a prescription is issued by the ophthalmologist.

3.  If the prescription is for a contact lens, the form must set forth the expiration date of the prescription, the number of refills approved for the patient and such other information as is necessary for the prescription to be filled properly.

4.  The initial fitting of a contact lens must be performed by an ophthalmologist or optometrist licensed in this State.

5.  As used in this section, ‘initial fitting’ means measuring the health, integrity and refractive error of the eye to determine whether contact lenses may be approved pursuant to subsection 1.