Acetasol HC Solution 2-1 % Otic
Hydrocortisone-Acetic Acid
Tier: 1
PA Type: No Prior Authorization
ST: N
Acetic Acid Solution 2 % Otic
Tier: 1
PA Type: No Prior Authorization
ST: N
Acetic Acid Solution 2 % Otic
Tier: 1
PA Type: No Prior Authorization
ST: N
Acetic Acid Solution 2 % Otic
Tier: 1
PA Type: No Prior Authorization
ST: N
Acetic Acid Solution 2 % Otic
Tier: 1
PA Type: No Prior Authorization
ST: N
Acetic Acid Solution 2 % Otic
Tier: 1
PA Type: No Prior Authorization
ST: N
Cetraxal SOLUTION 0.2 % OTIC
Tier: 3
PA Type: No Prior Authorization
ST: N
Cipro HC Suspension 0.2-1 % Otic
Ciprofloxacin-Hydrocortisone
Tier: 3
PA Type: No Prior Authorization
ST: N
Ciprodex Suspension 0.3-0.1 % Otic
Ciprofloxacin-Dexamethasone
Tier: 1
PA Type: No Prior Authorization
ST: N
Ciprodex Suspension 0.3-0.1 % Otic
Ciprofloxacin-Dexamethasone
Tier: 1
PA Type: No Prior Authorization
ST: N
Ciprofloxacin HCl SOLUTION 0.2 % OTIC
Tier: 3
PA Type: No Prior Authorization
ST: N