BRIMONIDINE

brimonidine tartrate 0.2% eye drops, 5 mL

BRIMONIDINE (8351M)

brimonidine tartrate 0.2% eye drops, 5 mL
8351M
Body System:
Manner of administration:Application To The Eye
General Schedule
No restrictions
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: $21.96 Max safety net: $23.44 General Patient Charge: $25.00
Available brands
Enidin
Alphagan
*Additional charge for this brand is $0.98
 DPMQ: $22.94 Max safety net: $23.44 General Patient Charge: $25.98