| Generic Name(s) | Strength | Dosage Form | ICD Code |
| Bimatoprost | 0.03% | Solution | Y56.5 |
| Brinzolamide | 1% | Solution | Y56.5 |
| Dorzolamide | 2% | Solution | Y56.5 |
| Dorzolamide/Timolol | 2%/0.5% | Solution | Y56.5 |
| Latanoprost | 0.01% | Solution | Y56.5 |
| Netarsudil | 0.2 mg / ml | Eye drops | |
| Proparacaine | 0.5% | Solution | Y56.5 |
