BETAMETHASONE VALERATE

betamethasone (as valerate) 0.05% cream, 15 g

BETAMETHASONE VALERATE (2813C)

betamethasone (as valerate) 0.05% cream, 15 g
2813C
Body System:
Manner of administration:Application
General Schedule
Restricted Benefit

Restriction

Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 1 DPMQ: $16.48 Max safety net: $17.96 General Patient Charge: $20.75
Available brands
Cortival 1/2
Betnovate 1/2
*Additional charge for this brand is $2.56
 DPMQ: $19.04 Max safety net: $17.96 General Patient Charge: $23.31