Product Details

Lidemol

Fluocinonide
0.05%
Cream in Emollient Base


DIN/PIN/NPN

02163152

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
02163152 Lidemol NA NA
00598933 Tiamol 0.1980 0.1980
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph