OPHTHALMICS: ANTI-INFLAMMATORIES
Displaying 1 - 10 of 57 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| DICLOFENAC 0.1% EYE DROPS diclofenac sodium |
61314001405 SANDOZ |
No | No | Medicaid CHIP CSHCN |
| DICLOFENAC 0.1% EYE DROPS diclofenac sodium |
61314001425 SANDOZ |
No | No | Medicaid CHIP CSHCN |
| KETOROLAC 0.5% OPHTH SOLUTION ketorolac tromethamine |
61314012605 SANDOZ |
No | No | Medicaid CHIP CSHCN |
| KETOROLAC 0.5% OPHTH SOLUTION ketorolac tromethamine |
61314012610 SANDOZ |
No | No | Medicaid CHIP CSHCN |
| KETOROLAC 0.5% OPHTH SOLUTION ketorolac tromethamine |
41616021990 SUN PHARMA GLOB |
No | No | Medicaid CHIP CSHCN |
| KETOROLAC 0.5% OPHTH SOLUTION ketorolac tromethamine |
47335022090 SUN PHARMA GLOB |
No | No | Medicaid CHIP CSHCN |
| KETOROLAC 0.5% OPHTH SOLUTION ketorolac tromethamine |
41616022090 SUN PHARMA GLOB |
No | No | Medicaid CHIP CSHCN |
| KETOROLAC 0.5% OPHTH SOLUTION ketorolac tromethamine |
60505100301 APOTEX CORP |
No | No | Medicaid CHIP CSHCN |
| KETOROLAC 0.5% OPHTH SOLUTION ketorolac tromethamine |
41616022190 SUN PHARMA GLOB |
No | No | Medicaid CHIP CSHCN |
| KETOROLAC 0.5% OPHTH SOLUTION ketorolac tromethamine |
60505100302 APOTEX CORP |
No | No | Medicaid CHIP CSHCN |