BETAMETHASONE DIPROPIONATE

betamethasone (as dipropionate) 0.05% cream, 15 g

BETAMETHASONE DIPROPIONATE (10813D)

betamethasone (as dipropionate) 0.05% cream, 15 g
10813D
Body System:
Manner of administration:Application
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6218)

Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 6 Max qty units: 6 # of repeats: 5 DPMQ: $37.32 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
DIPROVANT
Eleuphrat
Diprosone
*Additional charge for this brand is $14.70
 DPMQ: $52.02 Max safety net: $25.00 General Patient Charge: $39.70