BETAMETHASONE DIPROPIONATE

betamethasone (as dipropionate) 0.05% cream, 15 g

BETAMETHASONE DIPROPIONATE (10800K)

betamethasone (as dipropionate) 0.05% cream, 15 g
10800K
Body System:
Manner of administration:Application
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6246)

Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 4 # of repeats: 5 DPMQ: $29.48 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
DIPROVANT
Eleuphrat
Diprosone
*Additional charge for this brand is $9.80
 DPMQ: $39.28 Max safety net: $25.00 General Patient Charge: $34.80