Product Details

Polysporin Eye and Ear Drops Sterile

Polymyxin B Sulfate + Gramicidin
10000 U + 0.025 mg/mL
Ophthalmic/Otic Solution

DIN/PIN/NPN

02239156

Manufacturer

Johnson & Johnson Inc.

Formulary Listing Date

2007-01-02

Unit Price

0.9139

Amount MOH Pays

0.9139

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

52:04:04 Antibiotics

Therapeutic Note

NO

ATC Code

S03AA30

Interchangeable Products

NO

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph