FormWeb • brilliant blue G ophthalmic

Ochsner Health

Ochsner Health System Formulary

Formulary Addition Request Questions or Suggestions?

Search by class Show Therapeutic Classes

SDS Online Do Not Crush OHS Pharmacy Contact Louisiana Poison Control
(800) 222-1222

Add Formweb to your mobile device

Android iOS

Ochsner Health COVID-19 SharePoint Site "Safety On Site" Click here to enter an S.O.S.

Medications listed are available on OH EPIC Formulary, unless otherwise noted.
Not all formulary medications are available at each facility. Please refer to your local pharmacy for available inventory.

Ochsner Health

Ochsner Health System Formulary

Formulary Addition Request Questions or Suggestions?

Search results for:

brilliant blue G ophthalmic

brilliant blue G ophthalmic

Drug Name	Form	Strength	Infusion Center Available	Restricted	Non-formulary	Ambulatory Available	Interchange	REMS
TissueBlue	SOLUTION, INTRAVITREAL	0.025%

VIEW MORE Ocular Disorders
CLASS

Additional Information and Links

OH Epic Formulary, restricted to:

Indication: Selectively stain the internal limiting membrane (ILM)
Service line: Ophthalmology
Formulary location: Outpatient
Service location: Outpatient Surgery, Procedural
Patient population: Adults
Prior authorization required: No

Last updated: Jul. 11, 2025

This site is intended for the staff of Ochsner Health. While others may view accessible pages, Ochsner Health makes no warranty, express or implied, as to the use of this information outside of Ochsner Health.