BETAMETHASONE VALERATE

BETAMETHASONE VALERATE (2812B)

betamethasone (as valerate) 0.02% cream, 100 g
2812B
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: 2 Max qty units: 2 # of repeats: 0 DPMQ: $24.40 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Antroquoril
Cortival 1/5
Betnovate 1/5
*Additional charge for this brand is $4.10
 DPMQ: $28.50 Max safety net: $25.00 General Patient Charge: $29.10
Celestone-M
*Additional charge for this brand is $5.00
 DPMQ: $29.40 Max safety net: $25.00 General Patient Charge: $30.00