Product Details
Isopto Tears
Methylcellulose0.5%
Ophthalmic Solution
DIN/PIN/NPN
00000809
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. |