Product Details

Celestoderm-V/2

Betamethasone Valerate
0.05%
Ointment


DIN/PIN/NPN

02357879

Manufacturer

Valeo Pharma Inc.

Formulary Listing Date

2012-04-24  

Unit Price

0.0596

Amount MOH Pays

0.0596

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

D07AC01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02357879 Celestoderm-V/2 0.0596 0.0596
00012378 Betnovate-½ NA NA
00716642 Betaderm 0.0596 0.0596
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph