English: 0.15% Ophth Solution 02248151 ALPHAGAN P ALL BRIMONIDINE TARTRATE, TIMOLOL MALEATE 0.2% & 0.5% Ophth Solution 02248347 COMBIGAN ALL Top of Page 52:40.08 EENT - BETA-ADRENERGIC BLOCKING AGENTS BETAXOLOL HCL 0.5% Ophth Solution 02235971 SANDOZ-BETAXOLOL SDZ 0.25% Ophth Suspension 01908448 BETOPTIC S ALC LEVOBUNOLOL HCL 0.25% Ophth Solution 02241575 APO-LEVOBUNOLOL APX 00751286 BETAGAN ALL 02197456 NOVO-LEVOBUNOLOL NOP 02031159 RATIO-LEVOBUNOLOL RPH 02241715 SANDOZ-LEVOBUNOLOL SDZ 0.5% Ophth Solution 00637661 BETAGAN ALL 02197464 NOVO-LEVOBUNOLOL NOP 02237991 PMS-LEVOBUNOLOL PMS 02031167 RATIO-LEVOBUNOLOL RPH 02241716 SANDOZ-LEVOBUNOLOL SDZ TIMOLOL MALEATE 0.25% Long Acting Ophth Solution 02171880 TIMOPTIC-XE FRS 0.5% Long Acting Ophth Solution 02171899 TIMOPTIC-XE FRS 0.25% Ophth Gel Solution 02242275 TIMOLOL MALEATE-EX PMS 0.5% Ophth Gel Solution 02242276 TIMOLOL MALEATE-EX PMS 0.25% Ophth Solution 00755826 APO-TIMOP APX 02238770 DOM-TIMOLOL DPC 00893773 GEN-TIMOLOL GEN 02084317 MED-TIMOLOL MEC 02048523 NOVO-TIMOL NOP 02083353 PMS-TIMOLOL PMS 02240248 RATIO-TIMOLOL RPH 02166712 SANDOZ-TIMOLOL SDZ 0.5% Ophth Solution 00755834 APO-TIMOP APX 02238771 DOM-TIMOLOL DPC 00893781 GEN-TIMOLOL GEN 02084325 MED-TIMOLOL MEC 02083345 PMS-TIMOLOL PMS 02166720 SANDOZ-TIMOLOL SDZ 00451207 TIMOPTIC FRS 52:40.12 EENT - CARBONIC ANHYDRASE INHIBITORS ACETAZOLAMIDE 250MG Tablet 00545015 APO-ACETAZOLAMIDE APX BRINZOLAMIDE 1% Ophth Suspension 02238873 AZOPT ALC DORZOLAMIDE HCL 2% Ophth Solution 02216205 TRUSOPT FRS DORZOLAMIDE HCL, TIMOLOL MALEATE 20MG & 5MG/ML Ophth Solution 02240113 COSOPT FRS METHAZOLAMIDE 50MG Tablet 02245882 APO-METHAZOLAMIDE APX Top of Page 52:40.20 EENT - MIOTICS CARBACHOL 0.01% Ophth Solution 00042544 MIOSTAT ALC 3% Ophth Solution 00000663 ISOPTO CARBACHOL ALC PILOCARPINE HCL 4% Ophth Gel 00575240 PILOPINE HS ALC 1% Ophth Solution 00000841 ISOPTO CARPINE ALC 02229556 PILOCARPINE SCN 2% Ophth Solution 00000868 ISOPTO CARPINE ALC 4% Ophth Solution 02023733 DIOCARPINE DKT 00000884 ISOPTO CARPINE ALC PILOCARPINE NITRATE 2% Ophth Solution 02148463 PILOCARPINE NITRATE MINIMS NVR 4% Ophth Solution 02148471 PILOCARPINE NITRATE MINIMS NVR 52:40.28 EENT - PROSTAGLANDIN AGENTS BIMATOPROST 0.03% Ophth Solution 02245860 LUMIGAN ALL LATANOPROST 0.005% Ophth Solution 02231493 XALATAN PFI TIMOLOL MALEATE, TRAVOPROST 0.5% & 0.004% Ophth Solution 02278251 DUO TRAV ALC TRAVOPROST 0.004% Ophth Solution 02244896 TRAVATAN ALC Top of Page 52:92.00 MISCELLANEOUS EENT DRUGS ALUMINUM ACETATE, BENZETHONIUM CHLORIDE 0.5% & 0.03% Otic Solution 00674222 BURO-SOL STI APRACLONIDINE HCL 0.5% Ophth Solution 02076306 IOPIDINE ALC DEXTRAN 70, HYDROXYPROPYLMETHYLCELLULOSE 0.1% & 0.3% Ophth Solution 00390291 TEARS NATURALE ALC 01943308 TEARS NATURALE FREE ALC 00743445 TEARS NATURALE II ALC DIPIVEFRIN HCL, LEVOBUNOLOL HCL 0.1% & 0.5% Ophth Solution 02209071 PROBETA ALL HYDROXYPROPYLMETHYLCELLULOSE 0.5% Ophth Solution 00000809 ISOPTO TEARS ALC 00889806 SANDOZ EYELUBE SDZ 1% Ophth Solution 00000817 ISOPTO TEARS ALC 00874965 SANDOZ EYELUBE SDZ IPRATROPIUM BROMIDE 0.06% Nasal Spray 02246084 APO-IPRAVENT APX 02163713 ATROVENT BOE LODOXAMIDE TROMETHAMINE 0.1% Ophth Solution 00893560 ALOMIDE ALC MACROGOL, PROPYLENE GLYCOL 15% & 20% Nasal Gel 02220806 PMS-RHINARIS PMS 00551805 SECARIS PMS 15% & 20% Nasal Spray 00732230 RHINARIS PMS MINERAL OIL, PETROLATUM 80% & 20% Ophth Ointment 02125706 DUOLUBE BSH MINERAL OIL, WHITE PETROLATUM 55.5% & 42.5% Ophth Ointment 00210889 LACRI LUBE ALL PETROLATUM, LANOLIN, MINERAL OIL 94% & 3% & 3% Ophth Ointment 02082519 TEARS NATURALE P.M. ALC PETROLATUM, PETROLATUM LIQUID 85% & 15% Ophth Ointment 02133288 HYPOTEARS NVR POLYVINYL ALCOHOL 1% Ophth Solution 02133253 HYPOTEARS NVR 1.4% Ophth Solution 02229570 ARTIFICIAL TEARS PMS 00045616 LIQUIFILM TEARS ALL 00579408 TEARS PLUS ALL POLYVINYL ALCOHOL, POVIDONE 1.4% & 0.6% Ophth Solution 02229632 ARTIFICIAL TEARS EXTRA PMS SODIUM CARBOXYMETHYL CELLULOSE 0.5% Ophth Solution 02049260 REFRESH PLUS ALL 1% Ophth Solution 00870153 CELLUVISC ALL 10MG/ML Ophth Solution 02244650 REFRESH LIQUIGEL ALL 0.5% Ophth Solution (Multi-Dose) 02231008 REFRESH TEARS ALL SODIUM CHLORIDE 0.7% Nasal Solution 00857777 OTRIVIN SALINE NVC 0.7% Nasal Spray 00810436 OTRIVIN SALINE NVC 0.9% Nasal Spray 02231476 HYDRA SENSE (ISOTONIC, STERILE SEAWATER) SCH 02030861 NASAL SALINE PDD 00489530 SALINEX SDZ 5% Ophth Ointment 00750816 MURO-128 BSH 5% Ophth Solution 00750824 MURO-128 BSH 02245735 SANDOZ-SODIUM CHLORIDE SDZ TIMOLOL MALEATE 0.25% Ophth Solution 02238770 DOM-TIMOLOL DPC 0.5% Ophth Solution 02238771 DOM-TIMOLOL DPC 02166720 SANDOZ-TIMOLOL SDZ VERTEPORFIN Limited use benefit (prior approval required).  For treatment of age related macular degeneration for patients with this diagnosis who are being treated by a certified ophthalmologist.
French: 0.15% Solution ophtalmique 02248151 ALPHAGAN P ALL BRIMONIDINE (TARTRATE DE), TIMOLOL (MALÉATE DE) 0.2% & 0.5% Solution ophtalmique 02248347 COMBIGAN ALL 52:40.08 ORLO - BÉTA BLOQUANTS ADRÉNERGIQUES BÉTAXOLOL (CHLORHYDRATE DE) 0.5% Solution ophtalmique 02235971 SANDOZ-BETAXOLOL SDZ 0.25% Suspension ophtalmique 01908448 BETOPTIC S ALC LÉVOBUNOLOL (CHLORHYDRATE DE) 0.25% Solution ophtalmique 02241575 APO-LEVOBUNOLOL APX 00751286 BETAGAN ALL 02197456 NOVO-LEVOBUNOLOL NOP 02031159 RATIO-LEVOBUNOLOL RPH 02241715 SANDOZ-LEVOBUNOLOL SDZ 0.5% Solution ophtalmique 00637661 BETAGAN ALL 02197464 NOVO-LEVOBUNOLOL NOP 02237991 PMS-LEVOBUNOLOL PMS 02031167 RATIO-LEVOBUNOLOL RPH 02241716 SANDOZ-LEVOBUNOLOL SDZ TIMOLOL (MALÉATE DE) 0.25% Solution Ophtalmique à action prolongée 02171880 TIMOPTIC-XE FRS 0.5% Solution Ophtalmique à action prolongée 02171899 TIMOPTIC-XE FRS 0.25% Solution ophtalmique 00755826 APO-TIMOP APX 02238770 DOM-TIMOLOL DPC 00893773 GEN-TIMOLOL GEN 02084317 MED-TIMOLOL MEC 02048523 NOVO-TIMOL NOP 02083353 PMS-TIMOLOL PMS 02240248 RATIO-TIMOLOL RPH 02166712 SANDOZ-TIMOLOL SDZ 0.5% Solution ophtalmique 00755834 APO-TIMOP APX 02238771 DOM-TIMOLOL DPC 00893781 GEN-TIMOLOL GEN 02084325 MED-TIMOLOL MEC 02083345 PMS-TIMOLOL PMS 02166720 SANDOZ-TIMOLOL SDZ 00451207 TIMOPTIC FRS 0.25% Solution ophtalmique gel 02242275 MALÉATE DE TIMOLOL-EX PMS 0.5% Solution ophtalmique gel 02242276 MALÉATE DE TIMOLOL-EX PMS Haut de la page 52:40.12 ORLO - INHIBITEURS ANHYDRASE CARBONIQUE ACÉTAZOLAMIDE 250MG Comprimé 00545015 APO-ACETAZOLAMIDE APX BRINZOLAMIDE 1% Suspension ophtalmique 02238873 AZOPT ALC DORZOLAMIDE (CHLORHYDRATE DE) 2% Solution ophtalmique 02216205 TRUSOPT FRS DORZOLAMIDE (CHLORHYDRATE DE), TIMOLOL (MALÉATE DE) 20MG & 5MG/ML Solution ophtalmique 02240113 COSOPT FRS MÉTHAZOLAMIDE 50MG Comprimé 02245882 APO-METHAZOLAMIDE APX 52:40.20 ORLO - MYOTIQUES CARBACHOL 0.01% Solution ophtalmique 00042544 MIOSTAT ALC 3% Solution ophtalmique 00000663 ISOPTO CARBACHOL ALC PILOCARPINE (CHLORHYDRATE DE) 4% Gel ophtalmique 00575240 PILOPINE HS ALC 1% Solution ophtalmique 00000841 ISOPTO CARPINE ALC 02229556 PILOCARPINE SCN 2% Solution ophtalmique 00000868 ISOPTO CARPINE ALC 4% Solution ophtalmique 02023733 DIOCARPINE DKT 00000884 ISOPTO CARPINE ALC PILOCARPINE (NITRATE DE) 2% Solution ophtalmique 02148463 PILOCARPINE NITRATE MINIMS NVR 4% Solution ophtalmique 02148471 PILOCARPINE NITRATE MINIMS NVR 52:40.28 ORLO - ANALOGUES DE LA PROSTAGLANDINE BIMATOPROST 0.03% Solution ophtalmique 02245860 LUMIGAN ALL LATANOPROST 0.005% Solution ophtalmique 02231493 XALATAN PFI TIMOLOL (MALÉATE DE), TRAVOPROST 0.5% & 0.004% Solution ophtalmique 02278251 DUO TRAV ALC TRAVOPROST 0.004% Solution ophtalmique 02244896 TRAVATAN ALC Haut de la page 52:92.00 AUTRES O.R.L.O. ALCOOL POLYVINYLIQUE 1% Solution ophtalmique 02133253 HYPOTEARS NVR 1.4% Solution ophtalmique 02229570 ARTIFICIAL TEARS PMS 00045616 LARMES LIQUIFILM ALL 00579408 TEARS PLUS ALL ALUMINIUM (ACÉTATE D'), BENZÉTHONIUM (CHLORURE DE) 0.5% & 0.03% Solution otique 00674222 BURO-SOL STI APRACLONIDINE (CHLORHYDRATE D') 0.5% Solution ophtalmique 02076306 IOPIDINE ALC DEXTRAN 70, HYDROXYPROPYLMÉTHYLCELLULOSE 0.1% & 0.3% Solution ophtalmique 00390291 TEARS NATURALE ALC 01943308 TEARS NATURALE FREE ALC 00743445 TEARS NATURALE II ALC DIPIVÉFRINE (CHLORHYDRATE DE), LÉVOBUNOLOL (CHLORHYDRATE DE) 0.1% & 0.5% Solution ophtalmique 02209071 PROBETA ALL HUILE MINÉRALE, VASELINE 80% & 20% Onguent ophtalmique 02125706 DUOLUBE BSH HYDROXYPROPYLMÉTHYLCELLULOSE 0.5% Solution ophtalmique 00000809 ISOPTO TEARS ALC 00889806 SANDOZ EYELUBE SDZ 1% Solution ophtalmique 00000817 ISOPTO TEARS ALC 00874965 SANDOZ EYELUBE SDZ IPRATROPIUM (BROMURE D') LODOXAMIDE (TROMÉTHAMINE DE) 0.1% Solution ophtalmique 00893560 ALOMIDE ALC MACROGOL, PROPYLENE GLYCOL 15% & 20% Gel nasal 02220806 PMS-RHINARIS PMS 00551805 SECARIS PMS 15% & 20% Vaporisateur nasal 00732230 RHINARIS PMS MINERAL OIL, WHITE PETROLATUM 55.5% & 42.5% Onguent ophtalmique 00210889 LACRI LUBE ALL POLYVINYL ALCOHOL, POVIDONE 1.4% & 0.6% Solution ophtalmique 02229632 ARTIFICIAL TEARS EXTRA PMS SODIUM (CARBOXYMÉTHYLCELLULOSE DE) 0.5% Solution ophtalmique 02049260 REFRESH PLUS ALL 1% Solution ophtalmique 00870153 CELLUVISC ALL 10MG/ML Solution ophtalmique 02244650 REFRESH LIQUIGEL ALL 0.5% Solution ophtalmique (multi-doses) 02231008 REFRESH TEARS ALL SODIUM (CHLORURE DE) 5% Onguent ophtalmique 00750816 MURO-128 BSH 0.7% Solution nasale 00857777 OTRIVIN SALINE NVC 5% Solution ophtalmique 00750824 MURO-128 BSH 02245735 SANDOZ-SODIUM CHLORIDE SDZ 0.7% Vaporisateur nasal 00810436 OTRIVIN SALINE NVC 0.9% Vaporisateur nasal 02231476 HYDRA SENSE (ISOTONIC, STERILE SEAWATER) SCH 02030861 NASALE SALINE PDD 00489530 SALINEX SDZ TIMOLOL (MALÉATE DE) 0.25% Solution ophtalmique 02238770 DOM-TIMOLOL DPC 0.5% Solution ophtalmique 02238771 DOM-TIMOLOL DPC 02166720 SANDOZ-TIMOLOL SDZ VASELINE, LANOLINE, HUILE MINÉRALE 94% & 3% & 3% Onguent ophtalmique 02082519 TEARS NATURALE P.M. ALC VASELINE, VASELINE LIQUIDE 85% & 15% Onguent ophtalmique 02133288 HYPOTEARS NVR VERTÉPORFINE Médicament à usage restreint (autorisation préalable nécessaire).   Pour le traitement des patients souffrant de dégénérescence maculaire liée à l'âge et qui sont traitées par un ophtalmologiste.