
Acular LS Solution 0.4 % Ophthalmic
Ketorolac Tromethamine
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Acular Solution 0.5 % Ophthalmic
Ketorolac Tromethamine
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Acuvail Solution 0.45 % Ophthalmic
Ketorolac Tromethamine (PF)
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
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