BETAMETHASONE VALERATE

BETAMETHASONE VALERATE (10794D)

betamethasone (as valerate) 0.05% cream, 15 g
10794D
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: $24.56 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Cortival 1/2
Betnovate 1/2
*Additional charge for this brand is $10.24
 DPMQ: $34.80 Max safety net: $25.00 General Patient Charge: $35.24