Pred Mild — Medica

Preferred products

• generic dexamethasone sodium phosphate ophthalmic solution 0.1%
• generic fluorometholone ophthalmic suspension 0.1%
• generic loteprednol etabonate ophthalmic suspension 0.5%
• generic prednisolone acetate ophthalmic suspension 1%

Initial criteria

• If the patient has tried two Step 1 Products, approve a Step 2 Product.
• If the patient is diagnosed with endogenous anterior uveitis, approve Durezol (brand or generic).
• If the patient has an allergy to benzalkonium chloride, approve Durezol (brand or generic), FML SOP ointment, or Lotemax ophthalmic ointment.
• No other exceptions are recommended.

Approval duration

1 year