Antiglaucoma Agents

Showing 1–12 of 54 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Acetazolamide Cp12 500Mg (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Acetazolamide Tabs 125Mg (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Acetazolamide Tabs 250Mg (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Alphagan P Soln 0.1 % (Brand)	Brimonidine Tartrate Soln .1% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Alphagan P Soln 0.15 % (Brand)	Brimonidine Tartrate Soln .15% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Azopt Susp 1 % (Brand)	Brinzolamide Susp 1% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Betagan Soln 0.5 % (Brand)	Levobunolol Hcl Soln .5% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Betaxolol Hcl (Ophth) Soln .5% (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Betimol Soln 0.25 % (Brand)	Timolol Soln .25% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Betimol Soln 0.5 % (Brand)	Timolol Soln .5% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Betoptic-S Susp 0.25 % (Brand)	Betaxolol Hcl (Ophth) Susp .25% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Bimatoprost Soln .03% (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Brimonidine Tartrate Soln .15% (Generic)	Alphagan P Soln 0.15 % (Brand)	Antiglaucoma Agents	1	Generic	$14
Brimonidine Tartrate Soln .2% (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Brimonidine tartrate/Timolol maleate Soln 0.2-0.5 % (Authorized Generic)	Combigan Soln 0.2-0.5% (Brand)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Brinzolamide Ophth Susp 1 % (Generic)	Brinzolamide Susp 1% (Generic)	Antiglaucoma Agents	1	Generic	$14
Carteolol Hcl (Ophth) Soln 1% (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Combigan Soln 0.2-0.5 % (Brand)	Brimonidine Tartrate-Timolol Maleate Soln (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Cosopt Pf Soln 2-0.5 % (Brand)	Dorzolamide Hcl-Timolol Maleate Soln 2-0.5 % (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Cosopt Soln 22.3-6.8 Mg/Ml (Brand)	Dorzolamide Hcl-Timolol Maleate Soln 22.3-6.8 Mg/Ml (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Dorzolamide Hcl Soln 2% (Generic)	Trusopt Soln 2 % (Brand)	Antiglaucoma Agents	1	Generic	$14
Dorzolamide Hcl-Timolol Maleate Soln 2-0.5 % (Generic)	Cosopt Pf Soln 2-0.5 % (Brand)	Antiglaucoma Agents	1	Generic	$14
Dorzolamide Hcl-Timolol Maleate Soln 22.3-6.8 Mg/Ml (Generic)	Cosopt Soln 22.3-6.8 Mg/Ml (Brand)	Antiglaucoma Agents	1	Generic	$14
Isopto Carpine Soln 1 % (Brand)	Pilocarpine Hcl Soln 1% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Isopto Carpine Soln 2 % (Brand)	Pilocarpine Hcl Soln 2% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Isopto Carpine Soln 4 % (Brand)	Pilocarpine Hcl Soln 4% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Istalol Soln 0.5 % (Brand)	Timolol Maleate (Ophth) Soln .5% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Latanoprost Soln .005% (Generic)	Xalatan Soln 0.005 % (Brand)	Antiglaucoma Agents	1	Generic	$14
Levobunolol Hcl Soln .5% (Generic)	Betagan Soln 0.5 % (Brand)	Antiglaucoma Agents	1	Generic	$14
Lumigan Soln 0.01 % (Brand)	Bimatoprost Soln .01% (Generic)	Antiglaucoma Agents	3	Non-Formulary Brand	$68
Methazolamide Tabs 25Mg (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Methazolamide Tabs 50Mg (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Metipranolol Soln .3% (Generic)	No Brand Option Available	Antiglaucoma Agents	1	Generic	$14
Phospholine Iodide Solr 0.125 % (Brand)	Echothiophate Iodide Solr .125% (Generic)	Antiglaucoma Agents	2	Formulary Brand	$38
Pilocarpine Hcl Soln 1% (Generic)	Isopto Carpine Soln 1 % (Brand)	Antiglaucoma Agents	1	Generic	$14

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