How to Get Contacts With an Expired Prescription

Discovering an expired contact lens prescription when you need to order a new supply is a common, frustrating scenario. Unlike a prescription for eyeglasses, a contact lens prescription is legally considered a medical device prescription because the lens sits directly on the eye’s delicate surface. This distinction means that purchasing lenses with an expired prescription is strictly prohibited by federal and state regulations for patient safety. The only way to legally obtain new contact lenses is by first securing a renewed, valid prescription.

Understanding Prescription Expiration Rules

The necessity of a current prescription is rooted in both public health and federal law. Contact lenses are classified as medical devices, and wearing improperly fitted or outdated lenses poses serious health risks to the cornea, including corneal damage, increased risk of infection, and inflammation. Since changes in eye health and vision can occur without noticeable symptoms, the expiration date serves as a mandatory reminder for a professional eye health check.

The federal mandate governing the sale of contact lenses is the Fairness to Contact Lens Consumers Act, enforced by the Federal Trade Commission (FTC) under the Contact Lens Rule. This rule establishes a minimum validity period of one year for a contact lens prescription, although state laws may sometimes allow for a longer period. A prescriber can only issue a prescription for less than one year if there is a documented, legitimate medical reason to monitor the patient’s eye health more frequently.

A valid contact lens prescription is more complex than a glasses prescription and must contain specific parameters for your exact lenses. For wearers with astigmatism or presbyopia, the prescription will also include additional values like Cylinder, Axis, or Add power. Without a current prescription containing all these details, retailers are legally barred from dispensing lenses.

Required Prescription Parameters

  • Lens brand
  • Power (Sphere or PWR) measured in diopters
  • Base Curve (BC), which indicates the lens curvature
  • Diameter (DIA), which specifies the lens width

The Standard Renewal Process

The most thorough and recommended path to renewing an expired prescription is scheduling a comprehensive, in-person contact lens examination with an eye care professional. This examination goes beyond a simple vision test, serving as a check-up to monitor the long-term effects of lens wear on your eyes. The professional will evaluate the health of your cornea and surrounding ocular structures, looking for issues like oxygen deprivation or excessive dryness that may develop over time.

The appointment involves a contact lens fitting or renewal exam, which is distinct from a standard vision check for glasses. During this specialized evaluation, the provider will assess how the lenses physically fit on your eye to ensure proper movement, comfort, and tear exchange beneath the lens. You should discuss your current lens usage habits, any discomfort, or new visual symptoms you may be experiencing.

Upon completing the fitting and determining a successful prescription, the eye care professional is obligated by the Contact Lens Rule to provide you with a copy immediately. This release must occur automatically and cannot be conditioned on buying lenses from their office or paying an extra fee beyond the cost of the exam. Once you have this renewed, valid prescription, you are free to purchase lenses from any seller.

Using Telehealth for Quick Renewal

For established contact lens wearers whose vision is generally stable, telehealth and online vision screening services offer an expedited alternative for prescription renewal. These services are primarily designed for convenience and are typically restricted to individuals between 18 and 55 years old who do not have complex eye conditions. They function by conducting a remote refraction test to assess visual acuity and determine the necessary power correction.

The process usually requires you to have a recent, existing contact lens prescription as a baseline for the doctor’s review. You take a vision test using a computer and smartphone, often requiring you to stand a specific distance from the screen to measure distance vision. The results are then remotely reviewed by an eye doctor licensed in your state, who can issue a renewed prescription usually within 24 to 48 hours if the results are satisfactory.

It is important to understand the limitations of this method, as these online screenings do not replace the need for periodic, comprehensive eye health exams. They cannot physically assess the fit of the lens on the eye or check for subtle changes in corneal health, which can only be done in person with specialized equipment. Telehealth renewal is best viewed as a stopgap measure for low-risk, stable prescriptions, and users should return for a full physical examination at regular intervals.