Product Details

Betagan

Levobunolol HCl
0.5%
Ophthalmic Solution


DIN/PIN/NPN

00637661

Manufacturer

Allergan Inc.

Formulary Listing Date

1996-10-01  

Unit Price

3.8153

Amount MOH Pays

3.8153

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

S01ED03

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph