Ophthalmology Medications

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Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Dexamethasone Ophthalmic Insert | Corticosteroid
Product: DEXTENZA®
Prescribing Information
Size: 0.4 mg Ophthalmic Insert
Manufacturer: Ocular Therapeutix
NDC#: 70382-0204-01
Code*: C9048
RNINo
340BYes
Product: DEXTENZA®
Prescribing Infomation
Size: 0.4 mg Ophthalmic Insert Carton of 10
Manufacturer: Ocular Therapeutix
NDC#: 70382-0204-10
Code*: C9048
RNINo
340BYes
Alpha 1-Adrenergic Receptor Agonist and Nonselective Cyclooxygenase Inhibitor
Product: Omidria®
Prescribing Information
Size: 1% / 0.3% 5 mL Single-Patient use Vial w/ 4 mL of Sterile Solution Multi-pack of 4
Manufacturer: Rayner Surgical
NDC#: 82604-0600-04
Code*: J1097
RNIRNI
340BYes
* All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
2 Call for eligibility.
RNI - RightNow Inventory™ Eligible Products | 340B - Public Health Services 340B Pricing Available.
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