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Prescription medicine

Benoxinate and fluorescein Brand names: Altafluor; first approved as Altafluor Benox

Benoxinate and fluorescein (Altafluor Benox) is a prescription medicine with an FDA approval on record since 2017. No generic is listed in FDA's NDC Directory.

  • No generic listed

Check it at the source: the benoxinate and fluorescein FDA label on DailyMed (effective May 12, 2025, Bausch & Lomb Incorporated); the NDA 208582 record on Drugs@FDA; every benoxinate and fluorescein label on DailyMed.

Highlights of the record

FDA label of May 12, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

Fluorescein Sodium and Benoxinate Hydrochloride Ophthalmic Solution, 0.3%/0.4% is indicated for ophthalmic procedures in adult and pediatric patients requiring a disclosing agent in combination with a topical ophthalmic anesthetic agent.

Forms and strengths

  • 2.5 mg/ml / 4 mg/ml
  • 2.6 mg/ml / 4.4 mg/ml

Solution/ drops; solution.

On the market

Earliest approval on file
December 14, 2017 Altafluor Benox, Altaire Pharms Inc; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
3 of which 0 under generic applications, 2 under brand applications, repackagers included
Last listed patent
November 15, 2037 Fluorescein Sodium And Benoxinate Hydrochloride solution/drops; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
9 through July 30, 2026

What is benoxinate and fluorescein used for?

From the label: indications and usage

Fluorescein Sodium and Benoxinate Hydrochloride Ophthalmic Solution, 0.3%/0.4% is indicated for ophthalmic procedures in adult and pediatric patients requiring a disclosing agent in combination with a topical ophthalmic anesthetic agent. Fluorescein Sodium and Benoxinate Hydrochloride Ophthalmic Solution, 0.3%/0.4% is a combination of fluorescein sodium, a disclosing agent and benoxinate hydrochloride, a local ester anesthetic indicated for procedures in adult and pediatric patients requiring a disclosing agent in combination with a topical ophthalmic anesthetic.

FDA pharmacologic class: Diagnostic Dye.

Source: FDA drug label (Fluorescein Sodium and Benoxinate Hydrochloride), Bausch & Lomb Incorporated, effective May 12, 2025 (SPL set 1797c5ef-66c4-4cf8-b62d-b484242be2ee), via openFDA; the full label on DailyMed

Is there a generic for benoxinate and fluorescein (Altafluor Benox)?

No generic benoxinate and fluorescein is approved (Drugs@FDA, October 8, 2026).

The Orange Book lists no patent for Altafluor Benox solution/drops; a patent listed only for Fluorescein Sodium And Benoxinate Hydrochloride solution/drops runs to November 15, 2037. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2017 earliest approval on file
  • 2037 last listed patent

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do FAERS reports show for benoxinate and fluorescein?

The FDA Adverse Event Reporting System holds 9 reports that list benoxinate and fluorescein among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 0 are coded as a death and 0 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Confusional State2
  • Eye Pain2
  • Headache2
  • Nausea2
  • Rash2
  • Syncope2
  • Abdominal Pain Upper1
  • Abnormal Sensation In Eye1

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Other diagnostic dyes
the pharmacologic class, with prices and generics
Benoxinate and fluorescein side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other