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  

Requirements

NA

EAP Criteria

  NO

Product Monograph

View Monograph