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Perindopril Amlodipine 4

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PREFERRED DRUG LIST

www.kdheks.gov

Page 4 of 28 06/01/2021 OPHTHALMIC AGENTS (CONTINUED) Corticosteroids - Ophthalmic Preferred Non-Preferred, Prior Authorization Required Dexamethasone Sodium Phosphate 0.1% Solution Durezol® (difluprednate) Emulsion FML®Forte (fluorometholone) Suspension FML® Liquifilm (fluorometholone) Suspension FML® (fluorometholone) Ointment

  Drug, Preferred, Lists, Preferred drug list

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