BETAMETHASONE DIPROPIONATE

betamethasone (as dipropionate) 0.05% cream, 15 g

BETAMETHASONE DIPROPIONATE (10824Q)

betamethasone (as dipropionate) 0.05% cream, 15 g
10824Q
Body System:
Manner of administration:Application
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6232)

Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $21.64 Max safety net: $23.12 General Patient Charge: $25.00
Available brands
DIPROVANT
Eleuphrat
Diprosone
*Additional charge for this brand is $4.90
 DPMQ: $26.54 Max safety net: $23.12 General Patient Charge: $29.90