TRAVOPROST + TIMOLOL

travoprost 0.004% + timolol 0.5% eye drops, 2.5 mL

TRAVOPROST + TIMOLOL (14316L)

travoprost 0.004% + timolol 0.5% eye drops, 2.5 mL
14316L
Body System:
Manner of administration:Application To The Eye
General Schedule
Restricted Benefit

Restriction

Indication: Elevated intra-ocular pressure
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $59.16 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Duotrav