BETAMETHASONE VALERATE

betamethasone (as valerate) 0.05% cream, 15 g

BETAMETHASONE VALERATE (10799J)

betamethasone (as valerate) 0.05% cream, 15 g
10799J
Body System:
Manner of administration:Application
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6232)

Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
Cortival 1/2
Betnovate 1/2
*Additional charge for this brand is $4.76
 DPMQ: $24.60 Max safety net: $21.38 General Patient Charge: $28.93