DEXTRAN-70 + HYPROMELLOSE
| Source | General Schedule |
| Body System | SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS |
|
|
| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 5520MOP | DEXTRAN-70 + HYPROMELLOSE dextran-70 0.1% + hypromellose 0.3% eye drops, 15 mL (PI, CMI) |
1 | 1 | 5 | $17.22 | $18.67 | $22.12 |
| Available brands | |||||||
| Poly-Tearsa | |||||||
| Tears Naturalea * Additional charge for this brand is
$4.00B
|
1 | 1 | 5 | $21.22 | $18.67 | $26.12 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- OPOptometrist
