Product Details
Tears Naturale II
Dextran 70 + Hydroxypropyl Methylcellulose + Polyquad0.1% + 0.3% + 0.001%
Ophthalmic Solution
DIN/PIN/NPN
00743445
Manufacturer
Alcon Canada Inc.
Formulary Listing Date
1996-10-01
Unit Price
0.4387
Amount MOH Pays
0.4387
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
S01XA20
Interchangeable Products
NOLU 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. |