Ophthalmic Antihistamines

Drug - Ophthalmic Antihistamines

February 2016

Therapeutic area - Allergy

Preferred	Nonpreferred
Alaway OTC (ketotifen 0.03%) ketotifen 0.03% OTC Patanol (olopatadine 0.1%) Pataday (olopatadine 0.2%) Pazeo (olopatadine 0.7%)	Bepreve (bepotastine 1.5%) Elestat (epinastine 0.05%) epinastine 0.05% Emadine (emedastine 0.05%) Lastacaft (alcaftadine 0.25%) olopatadine 0.1% Optivar (azelastine 0.05%) azelastine 0.05% Zaditor OTC (ketotifen 0.035%)

Zaditor Rx (ketotifen) no longer marketed

Approval criteria for nonpreferred ophthalmic antihistamines

Patient must have demonstrated intolerance or failure to at least two preferred ophthalmic antihistamines.

Questions?

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