Product Details

Hyderm

Hydrocortisone Acetate
1%
Cream


DIN/PIN/NPN

00716839

Manufacturer

Taro Pharmaceuticals Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.2056

Amount MOH Pays

0.2056

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00716839 Hyderm 0.2056 0.2056
00477699 Corticreme NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph