Product Details

Lidex

Fluocinonide
0.05%
Ointment


DIN/PIN/NPN

02161966

Manufacturer

Valeo Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

D07AC08

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02161966 Lidex NA NA
02236996 Lyderm 0.3370 0.3370
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph