EFFECTIVE FOR CLAIMS ON OR AFTER JULY 1, 2024.

 

J7355


Injection, travoprost, intracameral implant, 1 microgram



INDICATIONS AND USAGE

iDose® TR (travoprost intracameral implant) 75 mcg is indicated for the reduction of intraocular pressure (IOP) in patients with open angle glaucoma (OAG) or ocular hypertension (OHT).

HCPCS Code

J7355

HCPCS Descriptor

Injection, travoprost, intracameral implant, 1 microgram

10-Digit NDC Code

25357-100-01

11-Digit NDC Code

25357-0100-01*

Package Description

Intracameral implant containing 75 micrograms of travoprost, pre-loaded in a single-dose inserter

WAC per Package

$13,950

WAC per HCPCS Unit

$186.00

*For certain purposes, including the proper billing of drug products, an 11-digit NDC may be required.

IMPORTANT SAFETY INFORMATION

 

Dosage and Administration

For ophthalmic intracameral administration. The intracameral administration should be carried out under standard aseptic conditions.

 

Contraindications

iDose®TR is contraindicated in patients with active or suspected ocular or periocular infections, patients with corneal endothelial cell dystrophy (e.g., Fuch’s Dystrophy, corneal guttatae), patients with prior corneal transplantation, or endothelial cell transplants (e.g., Descemet’s Stripping Automated Endothelial Keratoplasty [DSAEK]), patients with hypersensitivity to travoprost or to any other components of the product.

 

Warnings and Precautions

iDose ®TR should be used with caution in patients with narrow angles or other angle abnormalities. Monitor patients routinely to confirm the location of the iDose ®TR at the site of administration. Increased pigmentation of the iris can occur. Iris pigmentation is likely to be permanent.

 

Adverse Reactions1

In controlled studies, the most common ocular adverse reactions reported in 2% to 6% of patients were increases in intraocular pressure, iritis, dry eye, visual field defects, eye pain, ocular hyperaemia, and reduced visual acuity.


Please see full Prescribing Information.

References:

  1. https://www.idosetrhcp.com/important-safety-information/

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