METHYLPREDNISOLONE

methylprednisolone aceponate 0.1% cream, 15 g

METHYLPREDNISOLONE (8054X)

methylprednisolone aceponate 0.1% cream, 15 g
8054X
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: 0 DPMQ: $19.55 Max safety net: $21.09 General Patient Charge: $23.88
Available brands
Supriad Cream
Advantan
*Additional charge for this brand is $3.79
 DPMQ: $23.34 Max safety net: $21.09 General Patient Charge: $27.67