Glaucoma Drugs

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PDL Reference Documents

PDL Status Values

Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the Non-Preferred Drugs in Select PDL Classes prior authorization criteria. New drugs will be listed as N until reviewed by the P&T Committee and are subject to the New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.

To request a Prior Authorization, please use this form.

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NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Carveout
‐ Bill FFS		 Current Drug Use Criteria
24208053920 MIOCHOL-E acetylcholine chloride KIT 1 % (10 mg/mL) N Y N  
00065066010 IOPIDINE apraclonidine HCl DROPERETTE 1 % N Y N  
82667020001 IOPIDINE apraclonidine HCl DROPERETTE 1 % N Y N  
61314066505 APRACLONIDINE HCL apraclonidine HCl DROPS 0.5 % N Y N  
61314066510 APRACLONIDINE HCL apraclonidine HCl DROPS 0.5 % N Y N  
61314024501 BETAXOLOL HCL betaxolol HCl DROPS 0.5 % Y Y N  
61314024502 BETAXOLOL HCL betaxolol HCl DROPS 0.5 % Y Y N  
61314024503 BETAXOLOL HCL betaxolol HCl DROPS 0.5 % Y Y N  
00078072910 BETOPTIC S betaxolol HCl DROPS SUSP 0.25 % N Y N  
00078072915 BETOPTIC S betaxolol HCl DROPS SUSP 0.25 % N Y N  
00023320502 LUMIGAN bimatoprost DROPS 0.01 % N Y N  
00023320503 LUMIGAN bimatoprost DROPS 0.01 % N Y N  
00023320505 LUMIGAN bimatoprost DROPS 0.01 % N Y N  
00023320508 LUMIGAN bimatoprost DROPS 0.01 % N Y N  
42571012821 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
42571012828 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
42571012835 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
60505058301 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
60505058304 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
62332050705 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
62332050725 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
65862080205 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
65862080210 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
65862080244 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
70069040101 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
70069040201 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
70069040301 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
72266013901 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
72266014001 BIMATOPROST bimatoprost DROPS 0.03 % N Y N  
00023965201 DURYSTA bimatoprost IMPLANT 10 mcg Y N  
00023932105 ALPHAGAN P brimonidine tartrate DROPS 0.1 % Y Y N  
00023932110 ALPHAGAN P brimonidine tartrate DROPS 0.1 % Y Y N  
00023932115 ALPHAGAN P brimonidine tartrate DROPS 0.1 % Y Y N  
00781717770 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
00781717775 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
00781717785 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
60505057701 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
60505057702 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
60505057703 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
62332074905 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
62332074910 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
62332074915 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
70069056601 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
70069056701 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
70069056801 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
82182032105 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
82182032110 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
82182032115 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.1 % Y Y N  
00023917705 ALPHAGAN P brimonidine tartrate DROPS 0.15 % Y Y N  
00023917710 ALPHAGAN P brimonidine tartrate DROPS 0.15 % Y Y N  
00023917715 ALPHAGAN P brimonidine tartrate DROPS 0.15 % Y Y N  
60505056401 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
60505056402 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
60505056403 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
61314014405 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
61314014410 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
61314014415 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
62332066105 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
62332066110 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
62332066115 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
82182077305 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
82182077310 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
82182077315 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.15 % Y Y N  
24208041105 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
24208041110 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
24208041115 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
61314014305 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
61314014310 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
61314014315 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
70069023101 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
70069023201 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
70069023301 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
71921018505 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
71921018510 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
71921018515 BRIMONIDINE TARTRATE brimonidine tartrate DROPS 0.2 % Y Y N  
00781718670 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
00781718675 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
00781718685 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
00832142505 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
00832142510 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
00832142515 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
60505058901 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
60505058902 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
60505058903 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
60505622500 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
60505622501 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
60505622502 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
62332070605 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
62332070610 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
62332070615 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
65145016201 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
65145016301 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
65145016401 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
68462028132 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
68462028169 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
69315033005 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
69315033010 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
69315033015 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
70069065101 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
70069065201 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
70069065301 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
71921018805 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
71921018810 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
71921018815 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
82182045505 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
82182045510 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
82182045515 BRIMONIDINE TARTRATE-TIMOLOL brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
00023921105 COMBIGAN brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
00023921110 COMBIGAN brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
00023921115 COMBIGAN brimonidine tartrate/timolol DROPS 0.2 %-0.5 % N Y N  
00078072210 AZOPT brinzolamide DROPS SUSP 1 % Y Y N  
66758008570 AZOPT brinzolamide DROPS SUSP 1 % Y Y N  
66758008585 AZOPT brinzolamide DROPS SUSP 1 % Y Y N  
00574401210 BRINZOLAMIDE brinzolamide DROPS SUSP 1 % Y Y N  
00574401215 BRINZOLAMIDE brinzolamide DROPS SUSP 1 % Y Y N  
00591212712 BRINZOLAMIDE brinzolamide DROPS SUSP 1 % Y Y N  
00591212779 BRINZOLAMIDE brinzolamide DROPS SUSP 1 % Y Y N  
00781601470 BRINZOLAMIDE brinzolamide DROPS SUSP 1 % Y Y N  
00781601485 BRINZOLAMIDE brinzolamide DROPS SUSP 1 % Y Y N  
24208046410 BRINZOLAMIDE brinzolamide DROPS SUSP 1 % Y Y N  
24208046415 BRINZOLAMIDE brinzolamide DROPS SUSP 1 % Y Y N  
00065414727 SIMBRINZA brinzolamide/brimonidine tart DROPS SUSP 1 %-0.2 % N Y N  
00065002315 MIOSTAT carbachol VIAL 0.01 % N Y N  
61314023805 CARTEOLOL HCL carteolol HCl DROPS 1 % Y Y N  
61314023810 CARTEOLOL HCL carteolol HCl DROPS 1 % Y Y N  
61314023815 CARTEOLOL HCL carteolol HCl DROPS 1 % Y Y N  
24208048510 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
42571014126 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
61314001910 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
62332051910 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
69315030410 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
70069050101 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
70377008111 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
71921040010 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
72266019701 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
72888007715 DORZOLAMIDE HCL dorzolamide HCl DROPS 2 % N Y N  
00006351935 TRUSOPT dorzolamide HCl DROPS 2 % N Y N  
82584060510 COSOPT dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
24208048610 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
42571014726 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
61314003002 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
62332055310 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
65862094601 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
69315030510 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
70069005101 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
70377008211 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
71921022610 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
72603055901 DORZOLAMIDE-TIMOLOL dorzolamide HCl/timolol maleat DROPS 22.3 mg-6.8 mg/mL Y Y N  
82584060401 COSOPT PF dorzolamide/timolol/PF DROPERETTE 2 %-0.5 % Y Y N  
82584060430 COSOPT PF dorzolamide/timolol/PF DROPERETTE 2 %-0.5 % Y Y N  
42571038271 DORZOLAMIDE-TIMOLOL dorzolamide/timolol/PF DROPERETTE 2 %-0.5 % Y Y N  
42571038273 DORZOLAMIDE-TIMOLOL dorzolamide/timolol/PF DROPERETTE 2 %-0.5 % Y Y N  
50742032305 DORZOLAMIDE-TIMOLOL dorzolamide/timolol/PF DROPERETTE 2 %-0.5 % Y Y N  
50742032360 DORZOLAMIDE-TIMOLOL dorzolamide/timolol/PF DROPERETTE 2 %-0.5 % Y Y N  
65862094715 DORZOLAMIDE-TIMOLOL dorzolamide/timolol/PF DROPERETTE 2 %-0.5 % Y Y N  
65862094760 DORZOLAMIDE-TIMOLOL dorzolamide/timolol/PF DROPERETTE 2 %-0.5 % Y Y N  
24208046325 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
25021000102 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
59762033302 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
61314054701 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
61314054703 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
64980051625 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
65862087225 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
68462094403 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
70069042101 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
70069042103 LATANOPROST latanoprost DROPS 0.005 % Y Y N  
00013830304 XALATAN latanoprost DROPS 0.005 % Y Y N  
58151041935 XALATAN latanoprost DROPS 0.005 % Y Y N  
47335031790 XELPROS latanoprost DRPS EMULS 0.005 % Y Y N  
82584000330 IYUZEH latanoprost/PF DROPERETTE 0.005 % N Y N  
82584000381 IYUZEH latanoprost/PF DROPERETTE 0.005 % N Y N  
24208050402 VYZULTA latanoprostene bunod DROPS 0.024 % N Y N  
24208050405 VYZULTA latanoprostene bunod DROPS 0.024 % N Y N  
24208050505 LEVOBUNOLOL HCL levobunolol HCl DROPS 0.5 % N Y N  
70727052925 ROCKLATAN netarsudil mesylat/latanoprost DROPS 0.02 %-0.005 % N Y N  
70727049725 RHOPRESSA netarsudil mesylate DROPS 0.02 % N Y N  
70727049799 RHOPRESSA netarsudil mesylate DROPS 0.02 % N Y N  
24208067630 PILOCARPINE HCL pilocarpine HCl DROPS 1 % Y Y N  
61314020315 PILOCARPINE HCL pilocarpine HCl DROPS 1 % Y Y N  
69238174508 PILOCARPINE HCL pilocarpine HCl DROPS 1 % Y Y N  
70069018101 PILOCARPINE HCL pilocarpine HCl DROPS 1 % Y Y N  
60219236602 PILOCARPINE HCL pilocarpine HCl DROPS 1.25 % N Y N  
60219264901 PILOCARPINE HCL pilocarpine HCl DROPS 1.25 % N Y N  
24208068130 PILOCARPINE HCL pilocarpine HCl DROPS 2 % Y Y N  
61314020415 PILOCARPINE HCL pilocarpine HCl DROPS 2 % Y Y N  
69238174608 PILOCARPINE HCL pilocarpine HCl DROPS 2 % Y Y N  
70069019101 PILOCARPINE HCL pilocarpine HCl DROPS 2 % Y Y N  
00603725341 PILOCARPINE HCL pilocarpine HCl DROPS 4 % Y Y N  
24208068630 PILOCARPINE HCL pilocarpine HCl DROPS 4 % Y Y N  
61314020615 PILOCARPINE HCL pilocarpine HCl DROPS 4 % Y Y N  
69238174708 PILOCARPINE HCL pilocarpine HCl DROPS 4 % Y Y N  
70069020101 PILOCARPINE HCL pilocarpine HCl DROPS 4 % Y Y N  
00781618414 TAFLUPROST tafluprost/PF DROPERETTE 0.0015 % N Y N  
00781618487 TAFLUPROST tafluprost/PF DROPERETTE 0.0015 % N Y N  
42571026473 TAFLUPROST tafluprost/PF DROPERETTE 0.0015 % N Y N  
42571026493 TAFLUPROST tafluprost/PF DROPERETTE 0.0015 % N Y N  
50742033905 TAFLUPROST tafluprost/PF DROPERETTE 0.0015 % N Y N  
50742033930 TAFLUPROST tafluprost/PF DROPERETTE 0.0015 % N Y N  
66993042930 TAFLUPROST tafluprost/PF DROPERETTE 0.0015 % N Y N  
66993042981 TAFLUPROST tafluprost/PF DROPERETTE 0.0015 % N Y N  
82584060901 ZIOPTAN tafluprost/PF DROPERETTE 0.0015 % N Y N  
82584060930 ZIOPTAN tafluprost/PF DROPERETTE 0.0015 % N Y N  
82584000105 BETIMOL timolol DROPS 0.25 % N Y N  
82584000205 BETIMOL timolol DROPS 0.5 % N Y N  
82584000215 BETIMOL timolol DROPS 0.5 % N Y N  
70069069601 TIMOLOL timolol DROPS 0.5 % N Y N  
70069069701 TIMOLOL timolol DROPS 0.5 % N Y N  
70069069801 TIMOLOL timolol DROPS 0.5 % N Y N  
24208000401 ISTALOL timolol maleate DROP DAILY 0.5 % N Y N  
24208000403 ISTALOL timolol maleate DROP DAILY 0.5 % N Y N  
70069051601 TIMOLOL MALEATE timolol maleate DROP DAILY 0.5 % N Y N  
70069051701 TIMOLOL MALEATE timolol maleate DROP DAILY 0.5 % N Y N  
82260004505 TIMOLOL MALEATE timolol maleate DROP DAILY 0.5 % N Y N  
82260004525 TIMOLOL MALEATE timolol maleate DROP DAILY 0.5 % N Y N  
60758080205 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
60758080210 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
61314022605 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
61314022610 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
61314022615 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
64980051301 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
64980051305 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
64980051315 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
70069070101 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
70069070201 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
70069070301 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
70756065415 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
70756065530 TIMOLOL MALEATE timolol maleate DROPS 0.25 % Y Y N  
24208081205 TIMOPTIC timolol maleate DROPS 0.25 % Y Y N  
42571040421 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
42571040488 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
60758080105 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
60758080110 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
61314022705 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
61314022710 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
61314022715 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
64980051401 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
64980051405 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
64980051415 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
65145015201 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
65145015301 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
65145015401 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
69315032505 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
69315032510 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
69315032515 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
70069070601 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
70069070701 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
70069070801 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
70756065615 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
70756065730 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
72603054001 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
82260081305 TIMOLOL MALEATE timolol maleate DROPS 0.5 % Y Y N  
24208081305 TIMOPTIC timolol maleate DROPS 0.5 % Y Y N  
24208081310 TIMOPTIC timolol maleate DROPS 0.5 % Y Y N  
24208081825 TIMOLOL MALEATE timolol maleate SOL-GEL 0.25 % N Y N  
43598074711 TIMOLOL MALEATE timolol maleate SOL-GEL 0.25 % N Y N  
61314022405 TIMOLOL MALEATE timolol maleate SOL-GEL 0.25 % N Y N  
62332054505 TIMOLOL MALEATE timolol maleate SOL-GEL 0.25 % N Y N  
72266019901 TIMOLOL MALEATE timolol maleate SOL-GEL 0.25 % N Y N  
72603016201 TIMOLOL MALEATE timolol maleate SOL-GEL 0.25 % N Y N  
82260081825 TIMOLOL MALEATE timolol maleate SOL-GEL 0.25 % N Y N  
24208081425 TIMOPTIC-XE timolol maleate SOL-GEL 0.25 % N Y N  
24208081905 TIMOLOL MALEATE timolol maleate SOL-GEL 0.5 % N Y N  
43598074811 TIMOLOL MALEATE timolol maleate SOL-GEL 0.5 % N Y N  
59651031305 TIMOLOL MALEATE timolol maleate SOL-GEL 0.5 % N Y N  
61314022505 TIMOLOL MALEATE timolol maleate SOL-GEL 0.5 % N Y N  
62332054605 TIMOLOL MALEATE timolol maleate SOL-GEL 0.5 % N Y N  
72266020001 TIMOLOL MALEATE timolol maleate SOL-GEL 0.5 % N Y N  
72603016301 TIMOLOL MALEATE timolol maleate SOL-GEL 0.5 % N Y N  
82260081905 TIMOLOL MALEATE timolol maleate SOL-GEL 0.5 % N Y N  
24208081605 TIMOPTIC-XE timolol maleate SOL-GEL 0.5 % N Y N  
50742028704 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.25 % N Y N  
50742028760 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.25 % N Y N  
24208049834 TIMOPTIC OCUDOSE timolol maleate/PF DROPERETTE 0.25 % N Y N  
24208049605 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.5 % N Y N  
42571039871 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.5 % N Y N  
50742028804 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.5 % N Y N  
50742028860 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.5 % N Y N  
69918060160 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.5 % N Y N  
72485060205 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.5 % N Y N  
72485060260 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.5 % N Y N  
82260049605 TIMOLOL MALEATE timolol maleate/PF DROPERETTE 0.5 % N Y N  
24208049968 TIMOPTIC OCUDOSE timolol maleate/PF DROPERETTE 0.5 % N Y N  
00065026002 TRAVATAN Z travoprost DROPS 0.004 % Y Y N  
66758009556 TRAVATAN Z travoprost DROPS 0.004 % Y Y N  
66758009575 TRAVATAN Z travoprost DROPS 0.004 % Y Y N  
00378965132 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
00378965150 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
00781618556 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
00781618575 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
25021000202 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
25021000205 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
42571013021 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
42571013027 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
60505059301 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
60505059304 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
68462094303 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
68462094305 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
70069058601 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
70069058701 TRAVOPROST travoprost DROPS 0.004 % Y Y N  
25357010001 IDOSE TR travoprost IMPLANT 75 mcg Y N  
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