If a patient asks to order the older cheaper lenses after a change, the appropriate response is to:

• A. Sell them the cheaper lenses immediately
• B. Apologize and tell them that you will have to check with the doctor and will get back to them
• C. Tell them the price is non-negotiable
• D. Refer them to the lab

Answer: (B)

Always verify with the prescribing doctor before substituting lenses after a change. When a lens prescription or situation has changed, you can’t just switch to older, cheaper stock without confirming that it's still medically appropriate. A respectful, professional response is to acknowledge the request, apologize for any inconvenience, and tell the patient you need to check with the doctor and will get back to them. This keeps patient safety at the forefront, ensures the selected lenses match the updated prescription and fit, and maintains proper clinical authorization. Rushing to sell cheaper lenses or promising a price deal bypasses important medical review; referring to the lab without doctor confirmation can also delay or derail the correct course of action.