STEROIDS: TOPICAL MEDIUM
Displaying 1 - 10 of 99 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| FLUTICASONE PROP 0.005% OINT fluticasone propionate |
00713063260 COSETTE PHARMAC |
No | No | Medicaid CHIP CSHCN |
| FLUTICASONE PROP 0.005% OINT fluticasone propionate |
45802022111 PERRIGO/PADAGIS |
No | No | Medicaid CHIP CSHCN |
| FLUTICASONE PROP 0.005% OINT fluticasone propionate |
45802022135 PERRIGO/PADAGIS |
No | No | Medicaid CHIP CSHCN |
| FLUTICASONE PROP 0.005% OINT fluticasone propionate |
45802022137 PERRIGO/PADAGIS |
No | No | Medicaid CHIP CSHCN |
| FLUTICASONE PROP 0.005% OINT fluticasone propionate |
00713063215 COSETTE PHARMAC |
No | No | Medicaid CHIP CSHCN |
| FLUTICASONE PROP 0.005% OINT fluticasone propionate |
00713063231 COSETTE PHARMAC |
No | No | Medicaid CHIP CSHCN |
| FLUTICASONE PROP 0.05% CREAM fluticasone propionate |
00168033215 FOUGERA/SANDOZ |
No | No | Medicaid CHIP CSHCN |
| FLUTICASONE PROP 0.05% CREAM fluticasone propionate |
00168033230 FOUGERA/SANDOZ |
No | No | Medicaid CHIP CSHCN |
| FLUTICASONE PROP 0.05% CREAM fluticasone propionate |
00168033260 FOUGERA/SANDOZ |
No | No | Medicaid CHIP CSHCN |
| FLUTICASONE PROP 0.05% CREAM fluticasone propionate |
45802022211 PERRIGO/PADAGIS |
No | No | Medicaid CHIP CSHCN |