HYPROMELLOSE

hypromellose 0.3% w/w eye drops, 10 mL

HYPROMELLOSE (11634H)

hypromellose 0.3% w/w eye drops, 10 mL
11634H
Manner of administration:Application To The Eye
General Schedule
Restricted Benefit

Restriction

Indication: Severe dry eye syndrome
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
Revive Tears