A pharmacist is authorized, without consulting a physician or obtaining a new prescription or refill from a physician, to provide for one early refill of a prescription for topical ophthalmic products if all of the following criteria are met:

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(1) The refill is requested by a patient at or after seventy percent of the predicted days of use of:
(a) The date the original prescription was dispensed to the patient; or
(b) The date that the last refill of the prescription was dispensed to the patient;
(2) The prescriber indicates on the original prescription that a specific number of refills will be needed; and
(3) The refill does not exceed the number of refills that the prescriber indicated under subsection (2) of this section.