Product Details

Opticrom

Sodium Cromoglycate
2%
Ophthalmic Solution


DIN/PIN/NPN

02230621

Manufacturer

Allergan Inc.

Formulary Listing Date

1998-02-17  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

S01GX01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02230621 Opticrom NA NA
02009277 Cromolyn Eye Drops 0.9500 0.9500
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph