CLOTRIMAZOLE

CLOTRIMAZOLE (4004R)

clotrimazole 1% cream, 20 g
4004R
Body System:
Manner of administration:Application
Repatriation Pharmaceutical Benefits
No restrictions
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: - Max safety net: - General Patient Charge: -
Available brands
Clonea DPMQ: $16.15 Max safety net: $7.70 General Patient Charge: $7.70
Pharmacy Action Anti-Fungal Cream DPMQ: $15.84 Max safety net: $7.70 General Patient Charge: $7.70