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MIOSTAT

Generic: carbachol

Verified·Apr 23, 2026
Manufacturer
Alcon
NDC
0065-0023
RxCUI
308966
Route
OPHTHALMIC
ICD-10 indication
H40.059

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About MIOSTAT

What is this medication?

Miostat is a prescription intraocular solution that contains the active ingredient carbachol. It is specifically designed for use during ophthalmic surgical procedures, such as cataract removal or lens implantation. The medication is a potent miotic agent, meaning its primary function is to cause the pupil to constrict rapidly. This constriction helps surgeons better visualize the surgical field and provides protection to the internal structures of the eye during the final stages of the procedure.

In addition to inducing miosis, Miostat is used to help control intraocular pressure in the period immediately following eye surgery. By stimulating the muscles within the eye, the medication facilitates the drainage of fluid, which prevents a sharp increase in pressure that could potentially damage the optic nerve. Because it is an injectable solution intended for direct administration into the eye, it is only used by trained medical professionals in a clinical or hospital setting.

Copay & patient assistance

Detailed copay and financial assistance information is not publicly available for this medication at this time. Please consult your pharmacist or the manufacturer's official patient support program for more details.

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Prescribing information

From the FDA-approved label for MIOSTAT. Official source: DailyMed (NLM) · Label effective Feb 10, 2023

Indications and usage
INDICATIONS AND USAGE: Intraocular use for obtaining miosis during surgery. In addition, MIOSTAT* (carbachol intraocular solution, USP) 0.01% reduces the intensity of IOP elevation in the first 24 hours after cataract surgery.
Dosage and administration
DOSAGE AND ADMINISTRATION: Aseptically remove the sterile vial from the blister package by peeling the backing paper and dropping the vial onto a sterile tray. Withdraw the contents into a dry sterile syringe, and replace the needle with an atraumatic cannula prior to intraocular instillation. No more than one-half milliliter should be gently instilled into the anterior chamber for the production of satisfactory miosis. It may be instilled before or after securing sutures. Miosis is usually maximal within two to five minutes after application.
Contraindications
CONTRAINDICATIONS: Should not be used in those persons showing hypersensitivity to any of the components of this preparation.
Warnings
WARNINGS: For single-dose intraocular use only. Discard unused portion. Intraocular carbachol 0.01% should be used with caution in patients with acute cardiac failure, bronchial asthma, peptic ulcer, hyperthyroidism, G.I. spasm, urinary tract obstruction and Parkinson's disease. The vial stopper contains natural rubber (latex) which may cause severe allergic reactions.
Adverse reactions
ADVERSE REACTIONS: Ocular: Corneal clouding, persistent bullous keratopathy, retinal detachment and postoperative iritis following cataract extraction have been reported. Systemic: Side effects such as flushing, sweating, epigastric distress, abdominal cramps, tightness in urinary bladder, and headache have been reported with topical or systemic application of carbachol. The following additional reactions have been identified during post-approval use of MIOSTAT (carbachol intraocular solution, USP) 0.01% in clinical practice. Because they are reported voluntarily from a population of unknown size, estimates of frequency cannot be made. The reactions, which have been chosen for inclusion due to either their seriousness, frequency of reporting, possible causal connection to MIOSTAT, or a combination of these factors, include: corneal edema, drug effect prolonged (miosis), eye inflammation, eye pain, intraocular pressure increased, ocular hyperemia, vision blurred, visual impairment, and vomiting.
Use in pregnancy
Pregnancy: There are no adequate and well-controlled studies in pregnant women. MIOSTAT* (carbachol intraocular solution, USP) 0.01% should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Label text is reproduced as-is from the FDA-approved label. We do not paraphrase, summarize, or omit. Content above is for informational purposes only and is not medical advice. Always consult your prescribing clinician or pharmacist before making decisions about your medication.

Conditions we've indexed resources for

Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.

Prior authorization & coverage

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How this page is sourced

  • Drug identity verified against openFDA NDC Directory.
  • Label text (when shown) originates from NLM DailyMed.
  • Copay and assistance URLs verified periodically; if you hit a broken link, tell us.