Skip to content
The Policy VaultThe Policy Vault

Rocklatan™ (netarsudil 0.02%/latanoprost 0.005% ophthalmic solution – Alcon Laboratories)Cigna

Ocular Hypertension

Initial criteria

  • Patient age < 60 years (prior authorization required; age edit applies)
  • FDA-approved indication OR other use with supportive evidence
  • Prescription benefit coverage is not recommended for cosmetic conditions (e.g., eyelash growth)

Approval duration

1 year