CICLOSPORIN
Body System:
Manner of administration:Application To The Eye
Restriction
Indication: Chronic severe dry eye disease with keratitis
Treatment phase: Initial treatment for up to the first 180 days of treatment
Restriction
Indication: Chronic severe dry eye disease with keratitis
Treatment phase: Continuing treatment
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: $83.68 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Cequa | |||||