APPENDIX C. EXCLUSIONS BASED ON MEDICATIONS (continued)Class
Code Class Name Generic Drug Name
*OPHTHALMIC*/*Beta-blockers - Ophthalmic**862500 Levobunolol HCl Ophth LEVOBUNOLOL HCL
862500 Levobunolol HCl Ophth LEVOBUNOLOL HCL OPHTH
862500 Metipranolol Ophth METIPRANOLOL
862500 Metipranolol Ophth METIPRANOLOL OPHTH
862500 Carteolol HCl Ophth OCUPRESS
862500 Metipranolol Ophth OPTIPRANOLOL
862500 Timolol Maleate Ophth TIMOLOL MALEATE OPHTH
862500 Timolol Maleate Ophthming TIMOLOL MALEATE OPHTHALMICMING
862500 Timolol Maleate Ophthming TIMOLOL MALEATE OPHTHMING
862500 Timolol Ophth TIMOLOL OPHTH
862500 Timolol Maleate Ophth TIMOPTIC
862500 Timolol Maleate Ophthming TIMOPTIC-XE
OPHTHALMIC/*Beta-blockers - Ophthalmic/Beta-blockers - Combinations
862599 Dorzolamide-Timolol Ophth (Base Equiv) COSOPT
862599 Dorzolamide-Timolol Ophth (Base Equiv) DORZOLAMIDE-TIMOLOL OPHTH