Antiglaucoma Agents
Showing 1–12 of 54 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Isopto Carpine Soln 2 % (Brand) |
Antiglaucoma Agents |
1 |
Generic |
$14 |
|
|
Isopto Carpine Soln 4 % (Brand) |
Antiglaucoma Agents |
1 |
Generic |
$14 |
|
|
Netarsudil Dimesylate-Latanoprost Soln (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Brinzolamide-Brimonidine Tartrate Susp (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Timoptic-Xe Solg 0.25 % (Brand) |
Antiglaucoma Agents |
1 |
Generic |
$14 |
|
|
Timoptic-Xe Solg 0.5 % (Brand) |
Antiglaucoma Agents |
1 |
Generic |
$14 |
|
|
Timoptic Ocudose Soln 0.25 % (Brand) |
Antiglaucoma Agents |
1 |
Generic |
$14 |
|
|
Timolol Maleate Soln 0.5 % (Daily) |
Antiglaucoma Agents |
1 |
Generic |
$14 |
|
|
Timolol Maleate Soln 0.5 % |
Antiglaucoma Agents |
1 |
Generic |
$14 |
|
|
Timolol Maleate (Ophth) Soln .25% (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Timolol Maleate (Ophth) Soln .5% (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Timolol Maleate (Ophth) Solg .25% (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Timolol Maleate (Ophth) Solg .5% (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Travoprost Soln .004% (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Dorzolamide Hcl Soln 2% (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Latanoprostene Bunod Soln .024% (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Latanoprost Soln .005% (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Latanoprost Emul .005% (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Tafluprost Soln .015Mg/Ml (Generic) |
Antiglaucoma Agents |
3 |
Non-Formulary Brand |
$68 |