Limited coverage criteria – ofloxacin ophthalmic drops

Last updated on April 15, 2025

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Generic name		ofloxacin ophthalmic drops
Strength & form		0.3% drops

Special Authority criteria	Approval period
Failure or intolerance to first-line agents (e.g., aminoglycosides)	Short-term

Practitioner exemptions

Ophthalmologists

Special notes

None

Special Authority request form(s)

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HLTH 5328 – General Special Authority request (PDF, 656KB)

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Limited coverage criteria – ofloxacin ophthalmic drops

Generic name

Strength & form

Special Authority criteria

Approval period

Practitioner exemptions

Special notes

Special Authority request form(s)