Product Details
Ocuflox
Ofloxacin0.3%
Ophthalmic Solution
DIN/PIN/NPN
02143291
Manufacturer
Allergan Inc.
Formulary Listing Date
1996-12-19
Unit Price
2.8720
Amount MOH Pays
2.8720
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
S01AE01
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 170 | 1 year | For the treatment of conjunctivitis caused by susceptible strain(s) of Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pneumoniae and Hemophilus influenzae which is/are resistant or unresponsive to listed alternative agents. |