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Prescription medicine

Perfluorohexyloctane Brand names: Miebo

Perfluorohexyloctane (Miebo) is a prescription medicine with an FDA approval on record since 2023. No generic is listed; pharmacies paid $263.57 per mL (Miebo 100% eye drop) in the October 7, 2026 NADAC survey.

  • No generic listed

Check it at the source: the perfluorohexyloctane FDA label on DailyMed (effective March 10, 2026, Bausch & Lomb Incorporated); the NDA 216675 record on Drugs@FDA; every perfluorohexyloctane label on DailyMed.

Highlights of the record

FDA label of March 10, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

MIEBO ® (perfluorohexyloctane ophthalmic solution) is indicated for the treatment of the signs and symptoms of dry eye disease (DED).

Forms and strengths

  • 1 mg

Solution.

On the market

Earliest approval on file
May 18, 2023 Miebo, Bausch And Lomb Inc; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included
Last listed patent
June 21, 2037 Miebo solution/drops; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
$263.57 per mL Miebo 100% eye drop
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
1,914 through July 30, 2026

What is perfluorohexyloctane used for?

From the label: indications and usage

MIEBO ® (perfluorohexyloctane ophthalmic solution) is indicated for the treatment of the signs and symptoms of dry eye disease (DED). MIEBO (perfluorohexyloctane ophthalmic solution) is a semifluorinated alkane indicated for treatment of the signs and symptoms of dry eye disease.

FDA pharmacologic class: Semifluorinated Alkane.

Source: FDA drug label (MIEBO), Bausch & Lomb Incorporated, effective March 10, 2026 (SPL set 6b283c02-7df4-4c00-951b-555cddffe77c), via openFDA; the full label on DailyMed

Is there a generic for perfluorohexyloctane (Miebo)?

No generic perfluorohexyloctane is approved (Drugs@FDA, October 8, 2026).

The Orange Book lists 10 patents for Miebo solution/drops, the last expiring on June 21, 2037. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2023 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 pharmacies pay for perfluorohexyloctane (Miebo)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $263.57 per mL (Miebo 100% eye drop), up 3% from $256.05 on October 8, 2025. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Miebo 100% eye drop (brand)
$263.80
$246.57
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Miebo 100% eye dropBrand$263.57 per mLn/a+3%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

What do FAERS reports show for perfluorohexyloctane?

The FDA Adverse Event Reporting System holds 1,914 reports that list perfluorohexyloctane among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 111 are coded as a death and 170 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.

Reports received each year

The most reported reactions

  • Inappropriate Schedule Of Product Administration (a use or a product term, not a reaction)265
  • Eye Irritation241
  • Vision Blurred239
  • Eye Pain231
  • Product Use Issue (a use or a product term, not a reaction)186
  • Product Delivery Mechanism Issue179
  • Drug Ineffective (a use or a product term, not a reaction)147
  • Product Use Complaint (a use or a product term, not a reaction)144

Side effects: the label's list and every FAERS reaction

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

What next?

Perfluorohexyloctane side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other