Product Details

Lumigan

Bimatoprost
0.03%
Ophthalmic Solution


DIN/PIN/NPN

02245860

Manufacturer

Allergan Inc.

Formulary Listing Date

2004-04-06  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

S01EE03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02429063 Vistitan 9.1936 9.1936
02245860 Lumigan NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph