Product Details

Valisone

Betamethasone Valerate
0.1%
Scalp Lotion


DIN/PIN/NPN

00027944

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

D07AC01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00027944 Valisone NA NA
00653217 Ratio-Ectosone 0.0853 0.0853
00716634 Betaderm 0.0853 0.0853
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph