Approved Hospital Formulary
QR Code Add Formweb to your mobile device
Approved Hospital Formulary
Search results for:

sodium chondroitin-hyaluronate ophthalmic

sodium chondroitin-hyaluronate ophthalmic
Brand names: Viscoat
Form Strength
SOLUTION, INTRAOCULAR 40 mg-30 mg/mL


Additional Information:

LH current has 7 hyaluronate products available on formulary.

For orthopedic indications: Synvisc and Euflexxa are available as formulary preferred agents.

For ophthalmic indications: Duovisc, Healon, Healon 5, Provisc (0.55mL), and Viscoat (combination product) are available as formulary preferred agents

NON-formulary products include Provisc (0.85mL), Supartz, Hyalgan, Synvisc One, Orthovisc. Requests for a trial to use non-formulary products must be submitted to the P&T committee.


Last updated: May. 17, 2017







This site is intended for the staff of Legacy Health.
While others may view accessible pages, Legacy Health makes no warranty, express or implied,
as to the use of this information outside of Legacy Health.