BETAMETHASONE VALERATE

BETAMETHASONE VALERATE (10807T)

betamethasone (as valerate) 0.05% cream, 15 g
10807T
Body System:
Manner of administration:Application
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6263)

Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 8 Max qty units: 8 # of repeats: 5 DPMQ: $35.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Cortival 1/2
Betnovate 1/2
*Additional charge for this brand is $20.48
 DPMQ: $55.76 Max safety net: $25.00 General Patient Charge: $45.48