BETAMETHASONE VALERATE

BETAMETHASONE VALERATE (10810Y)

betamethasone (as valerate) 0.05% cream, 15 g
10810Y
Body System:
Manner of administration:Application
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6231)

Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 10 Max qty units: 10 # of repeats: 5 DPMQ: $40.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Cortival 1/2
Betnovate 1/2
*Additional charge for this brand is $25.60
 DPMQ: $66.28 Max safety net: $25.00 General Patient Charge: $50.60