Product Details

Lyderm

Fluocinonide
0.05%
Gel


DIN/PIN/NPN

02236997

Manufacturer

Taro Pharmaceuticals Inc.

Formulary Listing Date

1999-04-15  

Unit Price

0.3517

Amount MOH Pays

0.3517

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

D07AC08

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02161974 Lidex NA NA
02236997 Lyderm 0.3517 0.3517
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph