Product Details

Dermovate

Clobetasol Propionate
0.05%
Scalp Lotion


DIN/PIN/NPN

02213281

Manufacturer

TaroPharma, a Division of Taro Pharmaceuticals Inc.

Formulary Listing Date

2003-01-30  

Unit Price

0.7759

Amount MOH Pays

0.1990

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

Clobetasol Propionate: No more than 50 grams per week of ultrapotent steroids for a maximum of 2 weeks is recommended.

ATC Code

D07AD01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02213281 Dermovate 0.7759 0.1990
01910299 Teva-Clobetasol 0.1990 0.1990
02245522 Taro-Clobetasol Topical Solution USP 0.1990 0.1990
02216213 Mylan-Clobetasol Scalp Application 0.1990 0.1990
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph