Product Details

Lyderm

Fluocinonide
0.05%
Cream


DIN/PIN/NPN

00716863

Manufacturer

Taro Pharmaceuticals Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.2550

Amount MOH Pays

0.2550

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
02161923 Lidex NA NA
00716863 Lyderm 0.2550 0.2550
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph