Product Details

Apo-Travoprost-Timop PQ

Timolol Maleate + Travoprost
0.5% + 0.004%
Ophthalmic Solution
5-mL Pack (with PolyQuad as Preservative)

DIN/PIN/NPN

09857644

Manufacturer

Apotex Inc.

Formulary Listing Date

2020-06-30  

Unit Price

44.2125

Amount MOH Pays

44.2125

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

Apo-Travoprost-Timop PQ: This product is stable for 120 days after opening. Please refer to the product monograph for more information.

ATC Code

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
09857513 DuoTrav PQ 56.7000 44.2125
09857644 Apo-Travoprost-Timop PQ 44.2125 44.2125
 

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

 

EAP Criteria

NO

Product Monograph

View Monograph