Product Details

Mint-Olopatadine

Olopatadine HCl
0.1%
Ophthalmic Solution
5-mL Pack

DIN/PIN/NPN

02422727

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2014-11-27

Unit Price

26.1300

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

52:36:00 Other Eye, Ear, Nose and Throat Agents

Therapeutic Note

NO

ATC Code

S01GX09

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02358913	Sandoz Olopatadine	26.1300	NA
02233143	Patanol	NA	NA
02422727	Mint-Olopatadine	26.1300	NA
02458411	Jamp-Olopatadine	26.1300	NA
02403986	Co Olopatadine 0.1%	26.1300	NA
02305054	Apo-Olopatadine	26.1300	NA
02521172	Olopatadine	26.1300	NA

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph