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