Product Details
Apo-Travoprost-Timop
Timolol Maleate + Travoprost0.5% + 0.004%
Ophthalmic Solution
DIN/PIN/NPN
02415305
Manufacturer
Apotex Inc.
Formulary Listing Date
2019-04-30
Unit Price
8.8425
Amount MOH Pays
8.8425
Coverage Status
Discontinued Drug Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
S01ED51
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02278251 | DuoTrav | NA | NA |
| 02415305 | Apo-Travoprost-Timop | 8.8425 | 8.8425 |
LU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 310 | Indefinite | As second-line therapy for patients who do not have an adequate intraocular pressure lowering response to monotherapy with ophthalmic beta-blocking agents |
| 393 | Indefinite | For use as initial therapy in an urgent situation (e.g., patients with a high baseline intraocular pressure) where monotherapy is unlikely to be effective |