METHYLPREDNISOLONE

methylprednisolone aceponate 0.1% ointment, 15 g

METHYLPREDNISOLONE (10836H)

methylprednisolone aceponate 0.1% ointment, 15 g
10836H
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: $35.08 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Metvant
Supriad Ointment
Advantan
*Additional charge for this brand is $15.76
 DPMQ: $50.84 Max safety net: $25.00 General Patient Charge: $40.76