Ciloxan ointment — Medica
bacterial conjunctivitis
Preferred products
- generic ciprofloxacin 0.3% ophthalmic solution
- generic gatifloxacin 0.5% ophthalmic solution
- generic levofloxacin 0.5% ophthalmic solution
- generic moxifloxacin hydrochloride 0.5% ophthalmic solution
- generic ofloxacin 0.3% ophthalmic solution
Initial criteria
- Patient has tried one Step 1 Product (generic ciprofloxacin 0.3% ophthalmic solution, generic gatifloxacin 0.5% ophthalmic solution, generic levofloxacin 0.5% ophthalmic solution, generic moxifloxacin hydrochloride 0.5% ophthalmic solution, or generic ofloxacin 0.3% ophthalmic solution) OR
- Patient has already started treatment with Besivance or Ciloxan ointment and requires approval to complete course of therapy
Approval duration
1 year