Product Details
Isopto Tears
Methylcellulose1%
Ophthalmic Solution
DIN/PIN/NPN
00000817
Manufacturer
Alcon Canada Inc.
Formulary Listing Date
1996-10-01
Unit Price
0.5147
Amount MOH Pays
0.5147
Coverage Status
Limited Use Product Government Pharmacy Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
S01XA20
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 49 | Indefinite | For patients with objective evidence of keratoconjunctivitis sicca as confirmed by filamentary keratopathy on slit lamp examination or biopsy. |