- For the treatment of corneal cystine crystal accumulation in patients with cystinosis
Coverage of drugs is first determined by the memberís pharmacy or medical benefit. Please consult with or refer to the Evidence of Coverage document.
|Drug||Dosing Regimen||Dose Limit/ Maximum Dose|
|This field intentionally left blank.||This field intentionally left blank.||This field intentionally left blank.|
|Drug||Dosing Regimen||Authorization Limit|
Instill one drop in each eye, every waking hour
Length of Benefit