FormWeb • phentolamine/cyclophentolate/ketorolac ophthalmic

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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?

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phentolamine/cyclophentolate/ketorolac ophthalmic

phentolamine/cyclophentolate/ketorolac ophthalmic

Drug Name	Form	Strength	Infusion Center Available	Restricted	Non-formulary	Ambulatory Available	Interchange	REMS
Phentolamine/Cyclopentolate/Ketorolac Ophthalmic	SOLUTION, OPHTHALMIC	2.5%-0.25%-0.125%, 0.5 mL syringe

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Additional Information and Links

Indicated for retinopathy of prematurity.

Last updated: May. 12, 2021

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