BETAMETHASONE ACETATE + BETAMETHASONE SODIUM PHOSPHATE

betamethasone acetate 3 mg/mL + betamethasone sodium phosphate 3.9 mg/mL (total betamethasone 5.7 mg/mL) injection, 5 x 1 mL ampoules

BETAMETHASONE ACETATE + BETAMETHASONE SODIUM PHOSPHATE (2694T)

betamethasone acetate 3 mg/mL + betamethasone sodium phosphate 3.9 mg/mL (total betamethasone 5.7 mg/mL) injection, 5 x 1 mL ampoules
2694T
Body System:
Manner of administration:Injection
General Schedule
Restricted Benefit

Restriction

Indication: Alopecia areata

Restriction

Indication: Local intra-articular or peri-articular infiltration

Restriction

Indication: Granulomata

Restriction

Indication: Keloid

Restriction

Indication: Lichen planus hypertrophic

Restriction

Indication: Lichen simplex chronicus

Restriction

Indication: Chronic discoid lupus erythematosus

Restriction

Indication: Necrobiosis lipoidica

Restriction

Indication: Uveitis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 5 # of repeats: 0 DPMQ: $29.95 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Celestone Chronodose