STEROIDS: TOPICAL VERY HIGH
Displaying 1 - 10 of 144 records found.Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
---|---|---|---|---|
CLOBETASOL 0.05% CREAM clobetasol propionate |
62332054715 ALEMBIC PHARMAC |
No | No | Medicaid CHIP CSHCN |
CLOBETASOL 0.05% CREAM clobetasol propionate |
68180095604 LUPIN PHARMACEU |
No | No | Medicaid CHIP CSHCN |
CLOBETASOL 0.05% CREAM clobetasol propionate |
62332054730 ALEMBIC PHARMAC |
No | No | Medicaid CHIP CSHCN |
CLOBETASOL 0.05% CREAM clobetasol propionate |
62332054745 ALEMBIC PHARMAC |
No | No | Medicaid CHIP CSHCN |
CLOBETASOL 0.05% CREAM clobetasol propionate |
62332054760 ALEMBIC PHARMAC |
No | No | Medicaid CHIP CSHCN |
CLOBETASOL 0.05% CREAM clobetasol propionate |
68462052917 GLENMARK PHARMA |
No | No | Medicaid CHIP CSHCN |
CLOBETASOL 0.05% CREAM clobetasol propionate |
51672125801 TARO PHARM USA |
No | No | Medicaid CHIP CSHCN |
CLOBETASOL 0.05% CREAM clobetasol propionate |
68462052935 GLENMARK PHARMA |
No | No | Medicaid CHIP CSHCN |
CLOBETASOL 0.05% CREAM clobetasol propionate |
51672125802 TARO PHARM USA |
No | No | Medicaid CHIP CSHCN |
CLOBETASOL 0.05% CREAM clobetasol propionate |
00168016315 FOUGERA/SANDOZ |
No | No | Medicaid CHIP CSHCN |