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KETOROLAC/ PHENYLEPHRINE OPH IRR

Generic Name: KETOROLAC/ PHENYLEPHRINE OPH IRR
Brand Names: OMIDRIA
Drug Class: OPHTHALMICS,OTHER
Formulary Status: PA-F
Copay Tier: 3
Last Updated: 2017-02-27

Clinical Criteria Summary

Inclusion Criteria

Use limited to high risk patients

Source Documents

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