VUITY Pilocarpine Hydrochloride 12.5 mg/mL Solution/ Drops, 3 bottles — NDC 0074-7098-03 (Billing 00074-7098-03)
This is a package of 3 bottles of VUITY Pilocarpine Hydrochloride 12.5 mg/mL Solution/ Drops from AbbVie Inc., no longer marketed (first marketed Oct 2021), no longer in the FDA NDC Directory.
NDC database record
One package, one record: these facts belong to NDC 0074-7098-03 alone.
- Record
- FDA NDC Directory package listing · Human prescription drug
- Code segments
- 0074 labeler · 7098 product · 03 package
- Barcode (UPC-A, from the NDC)
- 3 0074709803 3
- FDA record last changed
- Jul 24, 2026
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GPI-14 (Medi-Span): 86501030102017
- RxCUI (RxNorm): 2584552
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 5, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the Cholinergic Receptor Agonist class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
Pilocarpine ophthalmic is used to treat glaucoma (a condition in which increased pressure in the eye can lead to gradual loss of vision) and ocular hypertension (a condition which causes increased pressure in the eye). Pilocarpine ophthalmic is also used to prevent or reduce increased pressure in the eye during and after certain types of laser eye surgery. It is also used during an eye exam to constrict (close) the pupil (the black part of the eye through which you see). Pilocarpine ophthalmic (Vuity, Qlosi) is used to treat presbyopia (a condition in which the lens of the eye loses its abilit...
Read the full MedlinePlus article ↗- Pilocarpine drops lower high pressure inside the eye in open-angle glaucoma and ocular hypertension. They also help manage acute angle-closure glaucoma, help prevent pressure spike...
- You put a drop in the affected eye(s), generally up to four times a day, as your prescriber directs. After the drop, you can press gently on the inner corner of your eye for 2 minu...
- Take your lenses out before putting in the drops. Wait 10 minutes after dosing before putting them back in.
- Headache, red eyes and eye irritation are the most common. Some people have blurred or dim vision, eye pain or watery eyes. If your vision is not clear, avoid driving or using mach...
Patient education
Supplement & herbal interactions
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 5, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per mL | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
Where does this data come from?
- CMS NADAC weekly file
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · refreshed Oct 5, 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Per unit | Per pack | Marketing start | Marketing end | Status |
|---|---|---|---|---|---|---|
| 00074-7098-01 0074-7098-01 | 1 BOTTLE in 1 BOX / 2.5 mL in 1 BOTTLE | — | — | 2021-10-28 | — | Discontinued by firm |
| 00074-7098-03 You're viewing this | 3 BOTTLE in 1 BOX / 2.5 mL in 1 BOTTLE | — | — | 2021-10-28 | — | Discontinued by firm |
| 00074-7098-04 0074-7098-04 Main listing | 1 BOTTLE in 1 CARTON / 2.5 mL in 1 BOTTLE | $31.39 / mL | $78.48 | 2021-10-28 | Sep 30, 2026 | Discontinued by firm |
| 00074-7098-05 0074-7098-05 | 1 BOTTLE in 1 CARTON / 1.5 mL in 1 BOTTLE | — | — | 2021-10-28 | — | Discontinued by firm |
| 00074-7098-06 0074-7098-06 | 1 BOTTLE in 1 CARTON / 5 mL in 1 BOTTLE | $23.39 / mL | $116.97 | 2023-03-08 | Sep 30, 2026 | Discontinued by firm |
This pack shows little to no recent Medicaid volume — a different pack size carries most fills. See all packs ↓
Pack size FAQ
What quantity is in this package?
How does this package differ from NDC 00074-7098-01?
What NDC number is used to bill for this package of VUITY Pilocarpine Hydrochloride 12.5 mg/mL Solution/ Drops?
Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Pilocarpine Hydrochloride Ophthalmic 12.5 mg/mL 60219-2649-01 | Amneal | 1 bottle | $19.391 | — | Availability likely | — |
| Pilocarpine Hydrochloride Ophthalmic 12.5 mg/mL 60219-2366-02 | Amneal | 1 bottle | $24.740 | — | Availability likely | — |
| Vuity 12.5 mg/mLthis 00074-7098-03 | AbbVie | 3 bottles | — | — | Discontinued | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Oct 3, 2026
- CMS NADAC weekly file
Availability & generic status
FDA-approved generic versions are listed, and recent pricing/market data suggests they may be available — see Therapeutic equivalents.
Why the date isn’t exact: Generic timing can change because patents may be challenged, settled, licensed, added, removed, or worked around with a narrower label — and FDA approval does not always mean a pharmacy can get the generic today.
🛈 What do these terms mean?
- Patent
- Legal protection listed in the Orange Book that may delay generic approval or launch. Issued by the U.S. Patent & Trademark Office.
- Substance patent
- Covers the active drug molecule itself — the hardest to design around. A generic generally can’t launch until it expires.
- Formulation (product) patent
- Covers a specific formulation or dosage form. A generic can sometimes work around it with a different formulation.
- Method-of-use patent
- A patent covering one specific approved use of the drug — not necessarily the whole molecule. A generic can sometimes launch with a “skinny label” that carves out the protected use and keeps the others.
- Skinny label
- A generic label that omits a still-patented use when the FDA allows it — letting a generic reach the market for the unprotected uses.
- Exclusivity
- FDA-granted marketing protection, separate from patents — e.g. 5-yr new chemical entity, 7-yr orphan drug, or a +6-month pediatric extension.
- Paragraph IV
- A generic applicant’s formal challenge to a listed patent. It can potentially lead to earlier generic entry, but often involves litigation or a settlement.
- RLD / RS
- Reference Listed Drug — the brand product the FDA uses as the reference for generic applications. Reference Standard — the product the FDA expects generics to compare against in bioequivalence testing.
- TE / AB rating
- FDA therapeutic-equivalence rating. An AB rating generally means the FDA considers a generic therapeutically equivalent to — and substitutable for — the brand.
- LOE (loss of exclusivity)
- The latest patent or exclusivity currently listed — the loss-of-exclusivity / latest-listed-protection date shown on this page. Paragraph-IV challenges and settlements can move the real date earlier; FDA approval and a manufacturer’s decision to market can move it later.
Built from the FDA Orange Book. The bars above are scaled to each protection’s expiry; the red LOE marker is the last one to lapse.
| Patent | Type | Use code | Expires |
|---|---|---|---|
| US 10610518 ↗ | Method of use | U-3562 | Apr 24, 2039 |
| US 10610518 ↗ | Method of use | U-3561 | Apr 24, 2039 |
| US 11285134 ↗ | Method of use | U-3561 | Apr 24, 2039 |
| US 11285134 ↗ | Method of use | U-3562 | Apr 24, 2039 |
| US 11285134 ↗ | Method of use | U-3252 | Apr 24, 2039 |
| US 10610518 ↗ | Method of use | U-3252 | Apr 24, 2039 |
| Code | What it grants | Expires |
|---|---|---|
| D-187 | Other change requiring clinical data (3-year) | Mar 28, 2026 |
Is there a generic version of this drug?
The FDA approved a generic — why can’t I get it at my pharmacy yet?
Why do different websites show different generic release dates?
What does “FDA listed” mean?
What does a patent or protection date mean here?
What does “current Orange Book estimate” mean?
Can a generic come out before the last patent expires?
Can a generic come out after the listed dates?
What is the difference between patents and exclusivity?
Why are there multiple patent dates?
Where does this data come from?
- FDA Orange Book · refreshed Oct 3, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
Where does this data come from?
IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.- FDA label on DailyMed · label index refreshed Oct 5, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
More NDCs from AbbVie Inc. labeler code 00074
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- Qulipta Atogepant 10 mg Tablet NDC 0074-7095-30
- Qulipta Atogepant 30 mg Tablet NDC 0074-7096-04
- Synthroid Levothyroxine Sodium 200 ug Tablet NDC 0074-7148-11
- Synthroid Levothyroxine Sodium 300 ug Tablet NDC 0074-7149-19
- Depakote Divalproex Sodium 125 mg Tablet, Delayed Release NDC 0074-7325-13
- Depakote Divalproex Sodium 250 mg Tablet, Delayed Release NDC 0074-7326-13
- Depakote Divalproex Sodium 500 mg Tablet, Delayed Release NDC 0074-7327-13
- Depakote ER Divalproex Sodium 250 mg Tablet, Extended Release NDC 0074-7401-13
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
1 INDICATIONS AND USAGE VUITY ® is indicated for the treatment of presbyopia in adults. VUITY is a cholinergic muscarinic receptor agonist indicated for the treatment of presbyopia in adults. ( 1 )
⏱️ Dosage and Administration ▾
2 DOSAGE AND ADMINISTRATION The recommended dosage of VUITY is one drop in each eye once daily. A second dose (one additional drop in each eye) may be administered 3-6 hours after the first dose. If more than one topical ophthalmic product is being used, the products should be administered at least 5 minutes apart.
Instill one drop of VUITY in each eye once daily. A second dose (one additional drop in each eye) may be administered 3-6 hours after the first dose. ( 2 )
💊 Dosage Forms and Strengths ▾
3 DOSAGE FORMS AND STRENGTHS VUITY (pilocarpine hydrochloride ophthalmic solution) is a clear, colorless, sterile ophthalmic solution containing 1.25% (12.5 mg/mL) of pilocarpine hydrochloride. Ophthalmic solution containing pilocarpine hydrochloride 1.25%. ( 3 )
⛔ Contraindications ▾
4 CONTRAINDICATIONS VUITY is contraindicated in patients with known hypersensitivity to the active ingredient or to any of the excipients. Hypersensitivity ( 4 )
⚠️ Warnings and Cautions ▾
5 WARNINGS AND PRECAUTIONS Blurred Vision : Patients should be advised not to drive or operate machinery if vision is not clear (e.g., blurred vision). Exercise caution in night driving and other hazardous activities in poor illumination. ( 5.1 ) Risk of Retinal D etachment : Rare cases of retinal detachment and retinal tear have been reported with miotics, including VUITY.
Individuals with pre-existing retinal disease are at increased risk. Therefore, examination of the retina is advised in all patients prior to initiation of therapy. Patients should be advised to seek immediate medical care with sudden onset of flashing lights, floaters, or vision loss.
( 5.2 ) Iritis : Caution is advised in patients with iritis. ( 5.3 )
5.1Blurred Vision Miotics, including VUITY, may cause accommodative spasm. Patients should be advised not to drive or operate machinery if vision is not clear (e.g., blurred vision). In addition, patients may experience temporary dim or dark vision with miotics, including VUITY.
Patients should be advised to exercise caution in night driving and other hazardous activities in poor illumination. 5. 2 Risk of Retinal D etachment Rare cases of retinal detachment and retinal tear have been reported with miotics, including VUITY.
Individuals with pre-existing retinal disease are at increased risk. Therefore, examination of the retina is advised in all patients prior to the initiation of therapy. Patients should be advised to seek immediate medical care with sudden onset of flashing lights, floaters, or vision loss.
5. 3 Iritis VUITY is not recommended to be used when iritis is present because adhesions (synechiae) may form between the iris and the lens. 5.
4 Use with Contact Lenses Contact lens wearers should be advised to remove their lenses prior to the instillation of VUITY and to wait 10 minutes after dosing before reinserting their contact lenses. 5. 5 Potential for Eye Injury or Contamination To prevent eye injury or contamination, care should be taken to avoid touching the dispensing bottle to the eye or to any other surface.
🤒 Adverse Reactions ▾
6 ADVERSE REACTIONS The following clinically significant adverse reactions are described elsewhere in labeling: Hypersensitivity [see Contraindications ( 4 )] Most common adverse reactions (>5%) are headache, conjunctival hyperemia, and eye irritation. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Allergan at 1-800-678-1605 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
6.1Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. VUITY dosed once daily was evaluated in 375 participants with presbyopia in two randomized, double-masked, vehicle-controlled studies (GEMINI 1 and GEMINI 2) of 30 days duration. The most common adverse reactions reported in >5% of participants were headache and conjunctival hyperemia.
Ocular adverse reactions reported in 1-5% of participants were blurred vision, eye pain, visual impairment, eye irritation, and increased lacrimation. VUITY was also evaluated in 114 participants with presbyopia in a randomized, double-masked, vehicle-controlled 14-day study (VIRGO) in which participants received two doses of VUITY in each eye, 6 hours apart daily. The most common adverse reactions reported in >5 % of participants were headache and eye irritation.
Ocular adverse reactions reported in 1-5% of participants were visual impairment, eye pain, blurred vision, and vitreous floaters.
6.2Postmarketing Experience The following adverse reactions have been identified during postapproval use of VUITY. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to VUITY exposure. Eye disorders : vitreous detachment, vitreomacular traction, retinal tear, retinal detachment.
👥 Use in Specific Populations ▾
8 USE IN SPECIFIC POPULATIONS
8.1Pregnancy Risk Summary There are no adequate and well-controlled studies of VUITY administration in pregnant women to inform a drug-associated risk. Oral administration of pilocarpine to pregnant rats throughout organogenesis and lactation did not produce adverse effects at clinically relevant doses. Data Human Data No adequate and well-controlled trials of VUITY have been conducted in pregnant women.
In a retrospective case series of 15 women with glaucoma, 4 patients used ophthalmic pilocarpine either pre-pregnancy, during pregnancy or postpartum. There were no adverse effects observed in patients or in their infants. Animal Data In embryofetal development studies, oral administration of pilocarpine to pregnant rats throughout organogenesis produced maternal toxicity, skeletal anomalies and reduction in fetal body weight at 90 mg/kg/day (approximately 485-fold higher than the maximum human ophthalmic dose [MHOD] of 0.03 mg/kg/day assuming administration of 2 drops/eye/day, on a mg/m 2 basis).
In a peri-/postnatal study in rats, oral administration of pilocarpine during late gestation through lactation increased stillbirths at a dose of 36 mg/kg/day (approximately 195-fold higher than the MHOD). Decreased neonatal survival and reduced mean body weight of pups were observed at ≥18 mg/kg/day (approximately 100 times the maximum human ophthalmic dose of VUITY).
8.2Lactation Risk Summary There is no information regarding the presence of pilocarpine in human milk, the effects on the breastfed infants, or the effects on milk production to inform risk of VUITY to an infant during lactation. Pilocarpine and/or its metabolites are excreted in the milk of lactating rats. Systemic levels of pilocarpine following topical ocular administration are low [see Clinical Pharmacology ( 12.3 ) ] , and it is not known whether measurable levels of pilocarpine would be present in maternal milk following topical ocular administration.
The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for VUITY and any potential adverse effects on the breastfed child from VUITY. Data Animal Data Following a single oral administration of 14 C-pilocarpine to lactating rats, the radioactivity concentrations in milk were similar to those in plasma.
8.4Pediatric Use Presbyopia does not occur in the pediatric population.
8.5Geriatric Use Clinical studies of VUITY did not include participants aged 65 and over to determine whether they respond differently from younger participants. Other reported clinical experience with ophthalmic pilocarpine solutions have not identified overall differences in safety between elderly and younger participants.
🤰 Pregnancy ▾
8.1Pregnancy Risk Summary There are no adequate and well-controlled studies of VUITY administration in pregnant women to inform a drug-associated risk. Oral administration of pilocarpine to pregnant rats throughout organogenesis and lactation did not produce adverse effects at clinically relevant doses. Data Human Data No adequate and well-controlled trials of VUITY have been conducted in pregnant women.
In a retrospective case series of 15 women with glaucoma, 4 patients used ophthalmic pilocarpine either pre-pregnancy, during pregnancy or postpartum. There were no adverse effects observed in patients or in their infants. Animal Data In embryofetal development studies, oral administration of pilocarpine to pregnant rats throughout organogenesis produced maternal toxicity, skeletal anomalies and reduction in fetal body weight at 90 mg/kg/day (approximately 485-fold higher than the maximum human ophthalmic dose [MHOD] of 0.03 mg/kg/day assuming administration of 2 drops/eye/day, on a mg/m 2 basis).
In a peri-/postnatal study in rats, oral administration of pilocarpine during late gestation through lactation increased stillbirths at a dose of 36 mg/kg/day (approximately 195-fold higher than the MHOD). Decreased neonatal survival and reduced mean body weight of pups were observed at ≥18 mg/kg/day (approximately 100 times the maximum human ophthalmic dose of VUITY).
🧒 Pediatric Use ▾
8.4Pediatric Use Presbyopia does not occur in the pediatric population.
🧓 Geriatric Use ▾
8.5Geriatric Use Clinical studies of VUITY did not include participants aged 65 and over to determine whether they respond differently from younger participants. Other reported clinical experience with ophthalmic pilocarpine solutions have not identified overall differences in safety between elderly and younger participants.
🆘 Overdosage ▾
10 OVERDOSAGE Systemic toxicity following topical ocular administration of pilocarpine is rare, but occasionally patients who are sensitive may develop sweating and gastrointestinal overactivity. Accidental ingestion can produce sweating, salivation, nausea, tremors and slowing of the pulse and a decrease in blood pressure. In moderate overdosage, spontaneous recovery is to be expected and is aided by intravenous fluids to compensate for dehydration.
For patients demonstrating severe poisoning, atropine, the pharmacologic antagonist to pilocarpine, should be used.
🧬 Clinical Pharmacology ▾
12 CLINICAL PHARMACOLOGY
12.1Mechanism of Action Pilocarpine hydrochloride is a cholinergic muscarinic agonist which activates muscarinic receptors located at smooth muscles such as the iris sphincter muscle and ciliary muscle. VUITY contracts the iris sphincter muscle, constricting the pupil to improve near and intermediate visual acuity while maintaining some pupillary response to light. VUITY also contracts the ciliary muscle and may shift the eye to a more myopic state.
12.3Pharmacokinetics Systemic exposure to pilocarpine was evaluated in 22 participants with presbyopia who were administered 1 drop of VUITY in each eye once daily for 30 days (GEMINI 1). The mean (SD) C max and AUC values from time 0 to last measurable concentration over 10-hour period post-last dose on Day 30 were 1.95 (0.98) ng/mL and 4.14 (2.16) ng·hr/mL, respectively. The median T max value on Day 30 was 0.3 hours postdose with a range from 0.2 to 0.5 hours postdose.
Systemic exposure to pilocarpine was also evaluated in 8 participants with presbyopia who were administered 1 drop of VUITY in each eye twice daily for 14 days (VIRGO). The Day 14 mean (SD) C max following first daily dosing was 1.81 (0.51) ng/mL and following second daily dosing was 2.12 (1.75) ng/mL. The Day 14 mean (SD) AUC over 6-hour post-dose following first daily dose was 4.35 (1.50) ng·hr/mL and following second daily dose was 4.22 (3.14) ng·hr/mL.
There was no significant systemic drug accumulation over time, with accumulation index ratios between Day 1 and Day 14 based on AUC as 1.42 and 1.03 for the first and second daily dose, respectively.
🧬 Mechanism of Action ▾
12.1Mechanism of Action Pilocarpine hydrochloride is a cholinergic muscarinic agonist which activates muscarinic receptors located at smooth muscles such as the iris sphincter muscle and ciliary muscle. VUITY contracts the iris sphincter muscle, constricting the pupil to improve near and intermediate visual acuity while maintaining some pupillary response to light. VUITY also contracts the ciliary muscle and may shift the eye to a more myopic state.
📦 How Supplied / Storage and Handling ▾
16 HOW SUPPLIED/STORAGE AND HANDLING VUITY is supplied as an isotonic, clear, colorless sterile ophthalmic solution in colorless low density polyethylene (LDPE) ophthalmic dispenser bottles and tips, with dark green high impact polystyrene caps as follows: 2.5 mL fill in 5 mL bottle (Box containing 1 bottle) NDC 0074-7098-01 2.5 mL fill in 5 mL bottle (Box containing 3 bottles) NDC 0074-7098-03 2.5 mL fill in 5 mL bottle (Carton containing 1 bottle) NDC 0074-7098-04 5 mL fill in 5 mL bottle (Carton) NDC 0074-7098-06 Storage Store at 15°C to 25°C (59°F to 77°F).
After opening, VUITY can be used until the expiration date on the bottle.
📋 Description ▾
11 DESCRIPTION VUITY (pilocarpine hydrochloride ophthalmic solution) 1.25% is a cholinergic muscarinic receptor agonist prepared as an isotonic, clear, colorless, sterile ophthalmic solution containing 1.25% of pilocarpine hydrochloride. The chemical name for pilocarpine hydrochloride is (3S,4R)-3-ethyl-4-[(1-methyl-1H-imidazol-5-yl)methyl]oxolan-2-one hydrochloride. Its molecular weight is 244.72 and its molecular formula is C 11 H 16 N 2 O 2 · HCl.
Its structural formula is: Each mL of VUITY contains pilocarpine hydrochloride 1.25% (12.5 mg) as the active ingredient, equivalent to 1.06% (10.6 mg) pilocarpine free-base. Preservative is: benzalkonium chloride 0.0075%. Inactive ingredients in the ophthalmic solution are: boric acid, sodium citrate dihydrate, sodium chloride, purified water, and may also include hydrochloric acid and/or sodium hydroxide for pH adjustment to between 3.5 and 5.5, if necessary. structural formula
💬 Information for Patients ▾
17 PATIENT COUNSELING INFORMATION Night Driving VUITY may cause temporary dim or dark vision. Advise patients to exercise caution with night driving and when hazardous activities are undertaken in poor illumination [see Warnings and Precautions ( 5.1 )] . Accommodative Spasm Temporary problems when changing focus between near and distant objects may occur.
Advise patients not to drive or use machinery if vision is not clear (e.g., blurred vision) [see Warnings and Precautions ( 5.1 )] . When to Seek Physician Advice Advise patients to seek immediate medical care with sudden onset of flashing lights, floaters, or vision loss [see Warnings and Precautions ( 5.2 )] . Contact Lens Wear Contact lens should be removed prior to the instillation of VUITY.
Wait 10 minutes after dosing before reinserting contact lenses [see Warnings and Precautions ( 5.4 )] . Avoiding Contamination of the Product Do not touch dropper tip to any surface, as this may contaminate the contents [see Warnings and Precautions ( 5.5 )] . Concomitant Topical Ocular Therapy If more than one topical ophthalmic medication is being used, the medicines must be administered at least 5 minutes apart.
Distributed by: Allergan, an AbbVie company Manufactured for: AbbVie Inc. North Chicago, IL 60064 USA © 2023 AbbVie. All rights reserved.
VUITY and its design are trademarks of Allergan Sales, LLC, an AbbVie company. v5.0USPI7098 Allergan
🧬 Pharmacokinetics ▾
12.3Pharmacokinetics Systemic exposure to pilocarpine was evaluated in 22 participants with presbyopia who were administered 1 drop of VUITY in each eye once daily for 30 days (GEMINI 1). The mean (SD) C max and AUC values from time 0 to last measurable concentration over 10-hour period post-last dose on Day 30 were 1.95 (0.98) ng/mL and 4.14 (2.16) ng·hr/mL, respectively. The median T max value on Day 30 was 0.3 hours postdose with a range from 0.2 to 0.5 hours postdose.
Systemic exposure to pilocarpine was also evaluated in 8 participants with presbyopia who were administered 1 drop of VUITY in each eye twice daily for 14 days (VIRGO). The Day 14 mean (SD) C max following first daily dosing was 1.81 (0.51) ng/mL and following second daily dosing was 2.12 (1.75) ng/mL. The Day 14 mean (SD) AUC over 6-hour post-dose following first daily dose was 4.35 (1.50) ng·hr/mL and following second daily dose was 4.22 (3.14) ng·hr/mL.
There was no significant systemic drug accumulation over time, with accumulation index ratios between Day 1 and Day 14 based on AUC as 1.42 and 1.03 for the first and second daily dose, respectively.
🔬 Clinical Studies ▾
14 CLINICAL STUDIES The efficacy of VUITY dosed once daily for the treatment of presbyopia was demonstrated in two 30‐Day Phase 3, randomized, double‐masked, vehicle‐controlled studies, namely GEMINI 1 (NCT03804268) and GEMINI 2 (NCT03857542). A total of 750 participants aged 40 to 55 years old with presbyopia were randomized (375 to VUITY group) in two studies and participants were instructed to administer one drop of VUITY or vehicle once daily in each eye. In both studies, the proportion of participants gaining 3 lines or more in mesopic, high contrast, binocular distance corrected near visual acuity (DCNVA), without losing more than 1 line (5 letters) of corrected distance visual acuity (CDVA) with the same refractive correction was statistically significantly greater in the VUITY group compared to the vehicle group at Day 30, Hour 3 (see Table 1 ).
Table 1: Primary Efficacy Results from GEMINI 1 and GEMINI 2 Studies (Intent-to-Treat Population) GEMINI 1 GEMINI 2 VUITY N=163 Vehicle N=160 p-value VUITY N=212 Vehicle N=215 p-value Proportion of participants gaining 3-lines or more in mesopic DCNVA, without losing more than 1 line (5 letters) of CDVA at Day 30, Hour 3 31% 8% p<0.01 26% 11% p<0.01 Figures 1 and 2 present the proportion of participants who gained 3-lines or more in mesopic DCNVA at Day 30. Figure 1: Proportion of Participants Achieving 3-Lines or More Improvement in Mesopic, High Contrast, Binocular DCNVA at Day 30 in GEMINI 1 (Intent-to-Treat Population) Timepoint Hour 0 Hour
0.25 Hour
0.5Hour 1 Hour 3 Hour 6 Hour 8 Hour 10 VUITY (%) 4.3 17.7 34.8 41.6 30.7 18.4 10.6
7.5Vehicle (%) 5.9 9.8 9.8 15.7 8.1 8.8 8.5
8.6Difference (95% CI) -1.5 (-6.4, 3.3) 7.9 (0.3, 15.5) 25.0 (16.2, 33.8) 25.9 (16.4, 35.5) 22.5 (14.3, 30.8) 9.7 (2.3, 17.0) 2.1 (-4.4, 8.5) -1.1 (-7.1, 5.0) Figure 2: Proportion of Participants Achieving 3-lines or More Improvement in Mesopic, High Contrast, Binocular DCNVA at Day 30 in GEMINI 2 (Intent-to-Treat P opulation ) Timepoint Hour 0 Hour
0.25 Hour
0.5Hour 1 Hour 3 Hour 6 Hour 8 Hour 10 VUITY (%) 7.8 16.1 32.1 37.3 27.6 16.3 14.5
12.6Vehicle (%) 4.0 6.6 9.6 12.1 10.8 9.9 8.6
8.7Difference (95% CI) 3.8 (-0.9, 8.4) 9.4 (3.2, 15.7) 22.5 (14.7, 30.3) 25.2 (17.0, 33.4) 16.7 (9.1, 24.3) 6.5 (-0.1, 13.1) 5.9 (-0.5, 12.2) 3.8 (-2.3, 10.0) The efficacy of VUITY dosed twice daily for the treatment of presbyopia was also demonstrated in a 14-Day, randomized, double-masked, vehicle-controlled study, namely VIRGO (NCT04983589). A total of 230 participants aged 40 to 55 years old with presbyopia were randomized (114 to VUITY group) and participants were instructed to administer one drop of VUITY or vehicle twice daily in each eye, with each dose administered 6 hours apart.
In this study, the proportion of participants gaining 3 lines or more in mesopic, high contrast, binocular distance corrected near visual acuity (DCNVA), without losing more than 1 line (5 letters) of corrected distance visual acuity (CDVA) with the same refractive correction was statistically significantly greater in the VUITY group compared to the vehicle group at Day 14, Hour 9 (3 hours after the second dose) (see Table 2 ). Table 2: Primary Efficacy Results from VIRGO (Intent-to-Treat Population) VIRGO VUITY BID N=114 Vehicle BID N=116 p-value Proportion of participants gaining 3-lines or more in mesopic DCNVA, without losing more than 1 line (5 letters) of CDVA at Day 14, Hour 9 (3 hours after the second dose) 35% 8% p<
0.01Figure 3 presents the proportion of participants who gained 3-lines or more in mesopic DCNVA at Day 14. Figure 3 : Proportion of Participants Achieving 3-lines or More Improvement in Mesopic, High Contrast, Binocular DCNVA at Day 14 in VIRGO (Intent-to-Treat Population) Timepoint Hour 0 Hour 1 Hour 3 Hour 6 Hour 7 Hour 9 VUITY BID (%) 12.3 53.5 37.7 27.2 54.4
36.8Vehicle BID (%) 3.4 8.6 7.8 4.3 6.0
8.6Difference (95% CI) 8.8 (2.0, 15.7) 44.9 (34.4, 55.4) 30.0 (19.8, 40.1) 22.9 (13.9, 31.8) 48.4 (38.2, 58… [Excerpted — this section continues on DailyMed.]
🧪 Nonclinical Toxicology ▾
13 NONCLINICAL TOXICOLOGY
13.1Carcinogenesis, Mutagenesis, Impairment of Fertility Carcinogenesis Pilocarpine did not induce tumors in mice at any dosage level studied (up to 30 mg/kg/day; approximately 80-times the MHOD). In rats, an oral dose of 18 mg/kg/day (approximately 100 times the MHOD), resulted in a statistically significant increase in the incidence of benign pheochromocytomas in both male and female rats, and a statistically significant increase in the incidence of hepatocellular adenomas in female rats. Mutagenesis Pilocarpine did not show any potential to cause genetic toxicity in a series of studies that included: 1) bacterial assays (Salmonella and E. coli) for reverse gene mutations; 2) an in vitro chromosome aberration assay in a Chinese hamster ovary cell line; 3) an in vivo chromosome aberration assay (micronucleus test) in mice; and 4) a primary DNA damage assay (unscheduled DNA synthesis) in rat hepatocyte primary cultures.
Impairment of Fertility Pilocarpine oral administration to male and female rats at a dosage of 18 mg/kg/day (100 times the MHOD) resulted in impaired reproductive function, including reduced fertility, decreased sperm motility, and morphologic evidence of abnormal sperm. It is unclear whether the reduction in fertility was due to effects on males, females, or both. In dogs, exposure to pilocarpine at a dosage of 3 mg/kg/day for 6 months resulted in evidence of impaired spermatogenesis (approximately 55 times the MHOD).
📄 Carcinogenesis, Mutagenesis, Impairment of Fertility ▾
13.1Carcinogenesis, Mutagenesis, Impairment of Fertility Carcinogenesis Pilocarpine did not induce tumors in mice at any dosage level studied (up to 30 mg/kg/day; approximately 80-times the MHOD). In rats, an oral dose of 18 mg/kg/day (approximately 100 times the MHOD), resulted in a statistically significant increase in the incidence of benign pheochromocytomas in both male and female rats, and a statistically significant increase in the incidence of hepatocellular adenomas in female rats. Mutagenesis Pilocarpine did not show any potential to cause genetic toxicity in a series of studies that included: 1) bacterial assays (Salmonella and E. coli) for reverse gene mutations; 2) an in vitro chromosome aberration assay in a Chinese hamster ovary cell line; 3) an in vivo chromosome aberration assay (micronucleus test) in mice; and 4) a primary DNA damage assay (unscheduled DNA synthesis) in rat hepatocyte primary cultures.
Impairment of Fertility Pilocarpine oral administration to male and female rats at a dosage of 18 mg/kg/day (100 times the MHOD) resulted in impaired reproductive function, including reduced fertility, decreased sperm motility, and morphologic evidence of abnormal sperm. It is unclear whether the reduction in fertility was due to effects on males, females, or both. In dogs, exposure to pilocarpine at a dosage of 3 mg/kg/day for 6 months resulted in evidence of impaired spermatogenesis (approximately 55 times the MHOD).
📄 Recent Major Changes ▾
Warnings and Precautions, Blurred Vision ( 5.1 ) 8/2022 Warnings and Precautions, Risk of Retinal Detachment ( 5.2 ) 8/2022 Dosage and Administration ( 2 ) 3/2023
📄 Package Label / Principal Display Panel ▾
PRINCIPAL DISPLAY PANEL NDC 0074-7098-01 Vuity ™ (pilocarpine HCI ophthalmic solution) 1.25% Contains one 2.5 mL bottle Rx Only Sterile For topical application in the eye 1 x 2.5 mL Allergan ™ An AbbVie company NDC 0074-7098-01 Vuity™ (pilocarpine HCI ophthalmic solution) 1.25% Contains one 2.5 mL bottle Rx Only Sterile For topical application in the eye 1 x 2.5 mL Allergan™ An AbbVie company
PRINCIPAL DISPLAY PANEL NDC 0074-7098-03 Vuity ™ (pilocarpine HCI ophthalmic solution) 1.25% Contains three 2.5 mL bottles Rx Only Sterile For topical application in the eye 3 x 2.5 mL Allergan ™ An AbbVie company NDC 0074-7098-03 Vuity™ (pilocarpine HCI ophthalmic solution) 1.25% Contains three 2.5 mL bottles Rx Only Sterile For topical application in the eye 3 x 2.5 mL Allergan™ An AbbVie company
PRINCIPAL DISPLAY PANEL NDC 0074-7098-04 Vuity ™ (pilocarpine HCI ophthalmic solution) 1.25% Rx Only Sterile 2.5 mL For Topical Application in the Eye Allergan ™ An AbbVie company NDC 0074-7098-04 Vuity™ (pilocarpine HCI ophthalmic solution) 1.25% Rx Only Sterile 2.5 mL For Topical Application in the Eye Allergan™ An AbbVie company
PRINCIPAL DISPLAY PANEL NDC 0074-7098-05 Professional Sample Not for Resale Vuity ™ (pilocarpine HCI ophthalmic solution) 1.25% Rx Only Sterile 1.5 mL For Topical Application in the Eye Allergan ™ An AbbVie company NDC 0074-7098-05 Professional Sample Not for Resale Vuity™ (pilocarpine HCI ophthalmic solution) 1.25% Rx Only Sterile 1.5 mL For Topical Application in the Eye Allergan™ An AbbVie company
PRINCIPAL DISPLAY PANEL NDC: 0074-7098-06 Vuity ® (pilocarpine HCI ophthalmic solution) 1.25% Rx Only Sterile 5 mL For Topical Application in the Eye Allergan ™ An AbbVie company NDC: 0074-7098-06 Vuity® (pilocarpine HCI ophthalmic solution) 1.25% Rx Only Sterile 5 mL For Topical Application in the Eye Allergan™ An AbbVie company
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