Eent Drugs, Miscellaneous

Showing 1–12 of 15 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Acetic Acid (Otic) Soln 2% (Generic)	No Brand Option Available	Eent Drugs, Miscellaneous	1	Generic	$14
Aflibercept Sosy 2Mg/0.05Ml (Generic)	Eylea Sosy 2 Mg/0.05Ml (Brand)	Eent Drugs, Miscellaneous	MA	Administered in Medical Office	N/A
Apraclonidine Hcl Soln .5% (Generic)	Iopidine Soln 0.5 % (Brand)	Eent Drugs, Miscellaneous	1	Generic	$14
Atropine Sulfate (Ophthalmic) Soln 1% (Generic)	No Brand Option Available	Eent Drugs, Miscellaneous	1	Generic	$14
Brolucizumab-Dbll Soln 6Mg/0.05Ml (Generic)	Beovu Soln 6 Mg/0.05Ml (Brand)	Eent Drugs, Miscellaneous	MA	Administered in Medical Office	N/A
Cystaran Soln 0.44 % (Brand)	Cysteamine Hcl Soln .44% (Generic)	Eent Drugs, Miscellaneous	3	Non-Formulary Brand	$68
Iopidine Soln 0.5 % (Brand)	Apraclonidine Hcl Soln .5% (Generic)	Eent Drugs, Miscellaneous	3	Non-Formulary Brand	$68
Iopidine Soln 1 % (Brand)	Apraclonidine Hcl Soln 1% (Generic)	Eent Drugs, Miscellaneous	3	Non-Formulary Brand	$68
Lacrisert Inst 5 Mg (Brand)	Artificial Tear Insert Inst 5Mg (Generic)	Eent Drugs, Miscellaneous	2	Formulary Brand	$38
Oxervate Soln 0.002 % (Brand)	Cenegermin-Bkbj Soln .002% (Generic)	Eent Drugs, Miscellaneous	3	Non-Formulary Brand	$68
Ranibizumab Soln .3Mg/0.05Ml (Generic)	Lucentis Soln 0.3 Mg/0.05Ml (Brand)	Eent Drugs, Miscellaneous	MA	Administered in Medical Office	N/A
Ranibizumab Soln .5Mg/0.05Ml (Generic)	Lucentis Soln 0.5 Mg/0.05Ml (Brand)	Eent Drugs, Miscellaneous	MA	Administered in Medical Office	N/A
Ranibizumab Sosy .3Mg/0.05Ml (Generic)	Lucentis Sosy 0.3 Mg/0.05Ml (Brand)	Eent Drugs, Miscellaneous	MA	Administered in Medical Office	N/A
Ranibizumab Sosy .5Mg/0.05Ml (Generic)	Lucentis Sosy 0.5 Mg/0.05Ml (Brand)	Eent Drugs, Miscellaneous	MA	Administered in Medical Office	N/A
Rhopressa Soln 0.02 % (Brand)	Netarsudil Dimesylate Soln .02% (Generic)	Eent Drugs, Miscellaneous	3	Non-Formulary Brand	$68