METHYLPREDNISOLONE

methylprednisolone aceponate 0.1% cream, 15 g

METHYLPREDNISOLONE (10842P)

methylprednisolone aceponate 0.1% cream, 15 g
10842P
Body System:
Manner of administration:Application
General Schedule
Authority Required (STREAMLINED)

Restriction  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: $24.44 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Supriad Cream
Advantan
*Additional charge for this brand is $7.88
 DPMQ: $32.32 Max safety net: $25.00 General Patient Charge: $32.88