Product Details

Isopto Tears

Methylcellulose
0.5%
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

NO  

LU 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.

 

EAP Criteria

NO

Product Monograph

View Monograph