Displaying 1 - 50 of 195 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
APEXICON E 0.05% CREAM
diflorasone diacetate/emoll
10337039530 No Yes
APEXICON E 0.05% CREAM
diflorasone diacetate/emoll
10337039560 No Yes
BRYHALI 0.01% LOTION
halobetasol propionate
00187000201 No Yes
BRYHALI 0.01% LOTION
halobetasol propionate
00187000260 No Yes
CLOBETASOL 0.05% CREAM
clobetasol propionate
16714073004 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
50383026745 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
50383026760 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
00472040015 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
00472040030 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
00472040045 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
00472040060 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
68462052917 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
16714099201 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
68462052935 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
16714099202 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
68462052947 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
16714099203 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
68462052965 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
16714099204 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
70700010915 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
70700010916 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
70700010917 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
70700010918 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
62332054715 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
62332054730 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
62332054745 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
62332054760 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
69238153203 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
51672125801 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
69238153204 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
51672125802 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
70710145601 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
69238153205 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
51672125803 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
70710145602 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
69238153206 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
51672125806 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
70710145603 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
64980044103 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
70710145604 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
64980044115 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
64980044145 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
64980044160 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
00168016315 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
00168016330 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
00168016346 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
68180095601 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
16714073001 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
00168016360 No No
CLOBETASOL 0.05% CREAM
clobetasol propionate
68180095602 No No