Ophthalmic Quinolones

Drug - Ophthalmic Quinolones

January 2012

Therapeutic Area - Ocular Infection

Preferred	Nonpreferred
ciprofloxacin ofloxacin Vigamox (moxifloxacin)	Ciloxan Ocuflox (ofloxacin) Quixin 0.5% (levofloxacin) Iquix 1.5% (levofloxacin) Besivance  (besifloxacin) Zymar (gatifloxacin) Moxeza (moxifloxacin)

Criteria

Zymar, Quixin, Moxeza and Besivance

Patient can not otherwise use ophthalmic ciprofloxacin (generic), ofloxacin, or Vigamox.

Ciloxan (ciprofloxacin)

Generic ciprofloxacin is preferred. Follow Branded PA criteria.

Iquix

Patient has a corneal ulcer.

Questions?

MHCP Provider Call Center 651-431-2700 or 800-366-5411