CALCIPOTRIOL + BETAMETHASONE DIPROPIONATE

calcipotriol 0.005% + betamethasone (as dipropionate) 0.05% gel, 60 g

CALCIPOTRIOL + BETAMETHASONE DIPROPIONATE (15352B)

calcipotriol 0.005% + betamethasone (as dipropionate) 0.05% gel, 60 g
15352B
Body System:
Manner of administration:Application
General Schedule
Restricted Benefit

Restriction

Indication: Chronic stable plaque type psoriasis vulgaris
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 1 DPMQ: $65.03 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actobet 50/500