STEROIDS: TOPICAL HIGH
Displaying 1 - 10 of 251 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| BETAMETHASONE DP 0.05% LOT betamethasone dipropionate |
00168005760 FOUGERA/SANDOZ |
No | No | Medicaid CHIP CSHCN |
| BETAMETHASONE DP 0.05% LOT betamethasone dipropionate |
00713080753 COSETTE PHARMAC |
No | No | Medicaid CHIP CSHCN |
| BETAMETHASONE DP 0.05% LOT betamethasone dipropionate |
45802002146 PADAGIS |
No | No | Medicaid CHIP CSHCN |
| BETAMETHASONE DP AUG 0.05% CRM betamethasone/propylene glyc |
51672131001 TARO PHARM USA |
No | No | Medicaid CHIP CSHCN |
| BETAMETHASONE DP AUG 0.05% CRM betamethasone/propylene glyc |
00168026515 FOUGERA/SANDOZ |
No | No | Medicaid CHIP CSHCN |
| BETAMETHASONE DP AUG 0.05% CRM betamethasone/propylene glyc |
51672131003 TARO PHARM USA |
No | No | Medicaid CHIP CSHCN |
| BETAMETHASONE DP AUG 0.05% CRM betamethasone/propylene glyc |
68462029052 GLENMARK PHARMA |
No | No | Medicaid CHIP CSHCN |
| BETAMETHASONE DP AUG 0.05% CRM betamethasone/propylene glyc |
45802037632 PADAGIS |
No | No | Medicaid CHIP CSHCN |
| BETAMETHASONE DP AUG 0.05% CRM betamethasone/propylene glyc |
00168026550 FOUGERA/SANDOZ |
No | No | Medicaid CHIP CSHCN |
| BETAMETHASONE DP AUG 0.05% CRM betamethasone/propylene glyc |
45802037635 PADAGIS |
No | No | Medicaid CHIP CSHCN |