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NDC 24208-0004-03 Istalol 5 mg/mL Details
Istalol 5 mg/mL
Istalol is a OPHTHALMIC SOLUTION/ DROPS in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Bausch & Lomb Incorporated. The primary component is TIMOLOL MALEATE.
MedlinePlus Drug Summary
Ophthalmic timolol is used to treat glaucoma, a condition in which increased pressure in the eye can lead to gradual loss of vision. Timolol is in a class of medications called beta-blockers. It works by decreasing the pressure in the eye.
Related Packages: 24208-0004-03Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Timolol Ophthalmic
Product Information
| NDC | 24208-0004 |
|---|---|
| Product ID | 24208-004_3829130f-c974-4bd8-a839-8f8efee0580d |
| Associated GPIs | 86250030102060 |
| GCN Sequence Number | 059074 |
| GCN Sequence Number Description | timolol maleate DROP DAILY 0.5 % OPHTHALMIC |
| HIC3 | Q6G |
| HIC3 Description | MIOTICS AND OTHER INTRAOCULAR PRESSURE REDUCERS |
| GCN | 24615 |
| HICL Sequence Number | 002105 |
| HICL Sequence Number Description | TIMOLOL MALEATE |
| Brand/Generic | Brand |
| Proprietary Name | Istalol |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Timolol Maleate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | SOLUTION/ DROPS |
| Route | OPHTHALMIC |
| Active Ingredient Strength | 5 |
| Active Ingredient Units | mg/mL |
| Substance Name | TIMOLOL MALEATE |
| Labeler Name | Bausch & Lomb Incorporated |
| Pharmaceutical Class | Adrenergic beta-Antagonists [MoA], beta-Adrenergic Blocker [EPC] |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA021516 |
| Listing Certified Through | 2025-12-31 |
Package
NDC 24208-0004-03 (24208000403)
| NDC Package Code | 24208-004-03 |
|---|---|
| Billing NDC | 24208000403 |
| Package | 1 BOTTLE, DROPPER in 1 CARTON (24208-004-03) / 5 mL in 1 BOTTLE, DROPPER |
| Marketing Start Date | 2004-08-02 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 74.1931 |
| Pricing Unit | ML |
| Effective Date | 2021-01-01 |
| NDC Description | ISTALOL 0.5% EYE DROPS |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 5 |
| Classification for Rate Setting | B |
| As of Date | 2022-01-12 |
This pricing file, entitled the NADAC (National Average Drug Acquisition
Cost) files, provide
state Medicaid agencies with covered outpatient drug prices by averaging
survey invoice
prices from retail community pharmacies across the United States. These
pharmacies include
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