San Diego County Medical Services Drug Formulary
San Diego County Medical Services Drug Formulary
San Diego County Medical Services Drug Formulary
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<strong>San</strong> <strong>Diego</strong> <strong>County</strong> <strong>Medical</strong> <strong>Services</strong> <strong>Drug</strong> <strong>Formulary</strong>Generic NameRepresentativeBrand NameUtilization ManagementBacitracin Oint 500 U/gmOphthalmicCiprofloxacin HCL Oint & Soln0.3% OphthalmicErythromycin Oint 5mg/gmOphthalmicGatifloxacin 0.3% SolnOphthalmicGentamicin Sulfate Soln &Oint 0.3% OphthalmicLevofloxacin 0.5% SolnOphthalmicMoxifloxacin 0.5% SolnOphthalmicOfloxacin Ophth Soln 0.3%OphthalmicSodium Sulfacetamide 10%OphthalmicTobramycin Sulfate Soln &Oint 0.3% OphthalmicOphthalmic Beta-BlockersBetaxolol HCL Soln -.5% & 1%and Susp 0.25% OphthalmicCarteolol HCL Soln 1%OphthalmicMetipranolol HCL Soln 0.3%OphthalmicLevobunolol HCL Soln 0.25%& 0.5% OphthalimcTimolol Maleate Soln 0.25% &0.5% OphthalmicTimolol Maleate Soln (GelForming) 0.25% & 0.5%ophthalmicAK-TracinCiloxanLlotycinZymarGaramycin,GenopticQuixinVigamoxOcufloxBleph-10, SodSulamydTobrexBetoptic, Betoptic-SOcupressOptipranololBetaganTimopticTimoptic XEAll ophthalmic beta-blockers are coveredOphthalmic Carbonic Anhydrase InhibitorsBrinzolamide Susp 1%AzoptOphthalmicOphthalmic Carbonic Anhydrase Inhibitors – Beta-Blocker CombinationDorzolamide-Timolol Soln 2-Cosopt0.5% OphthalmicOphthalmic SteroidsDexamethasone Susp 0.1%OphthalmicDexamethasone SodiumPhosphate Soln OphthalmicMaxidexDecadron, Dexa-solJune 2009 Page 23 of 42
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