11.08.02 |
Formulary
|
 |
Bevacizumab intravitreal injection |
04.09.03 |
Non Formulary
|
 |
Botulinum toxin A Azzalure®, Bocouture®,Botox®,Vistabel® |
04.09.03 |
Formulary
|
 |
Botulinum toxin A Azzalure®, Bocouture®, Botox®, Vistabel®, Dysport®, Xeomin® |
11.04.01 |
Formulary
|
 |
Dexamethasone intravitreal implant Ozurdex® |
02.01.01 |
Formulary
|
 |
Digoxin specific antibody fragments DigiFab® |
11.04.01 |
Formulary
|
 |
Fluocinolone intravitreal implant Iluvien® |
13.05.02 |
Non Formulary
|
 |
Fumaric acid esters Fumaderm® |
11.08.02 |
Formulary
|
 |
Ocriplasmin intravitreal injection |
11.08.02 |
Formulary
|
 |
Ranibizumab intravitreal injection |
10.01.03 |
Formulary
|
 |
Tocilizumab oral & sc injection |