Drug - Ophthalmic NSAIDs
August 2010
Ophthalmic
| Preferred | Nonpreferred |
| diclofenac sodium 0.1% | Acular |
NSAIDs
| Preferred | Nonpreferred |
| ketorolac tromethamine 0.4%; 0.5% | Acular LS
Acuvail Bromday bromfenac sodium 0.09% Nevanac Voltaren ophthalmic Xibrom |
Zaditor Rx (ketotifen) no longer marketed
Patient or physician will have to demonstrate lack of efficacy or intolerance to one of the preferred ophthalmic NSAIDs.
MHCP Provider Call Center 651-431-2700 or 800-366-5411
