PTC 840600

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Products Found: 107

MFR

Review Status/
Past Decision(s)

AMCINONIDE
TARO-AMCINONIDE
0.1 %
TOP  CRM
0.2253
N/A
G
NO

REGULAR BENEFIT

 

BECLOMETHASONE DIPROPIONATE
PROPADERM
250 MCG / G
TOP  CRM
0.4596
N/A
G
NO

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
DIPROLENE GLYCOL
0.05 %
TOP  GLYCRM
0.5186
0.5186
G
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
DIPROLENE GLYCOL
0.05 %
TOP  GLYONT
0.5186
0.5186
G
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
DIPROSONE
0.05 %
TOP  CRM
0.2091
0.2046
G
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
DIPROSONE
0.05 %
TOP  LOT
0.2022
0.2022
ML
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
DIPROSONE
0.05 %
TOP  ONT
0.2197
0.2186
G
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
TEVA-TOPILENE
0.05 %
TOP  GLYCRM
0.5186
0.5186
G
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
TEVA-TOPILENE
0.05 %
TOP  GLYLOT
0.2832
N/A
ML
NO

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
TEVA-TOPILENE
0.05 %
TOP  GLYONT
0.5186
0.5186
G
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
TEVA-TOPISONE
0.05 %
TOP  CRM
0.2046
0.2046
G
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
TEVA-TOPISONE
0.05 %
TOP  LOT
0.2079
0.2022
ML
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE
TEVA-TOPISONE
0.05 %
TOP  ONT
0.2186
0.2186
G
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE/ CLOTRIMAZOLE
LOTRIDERM
0.05 % * 1 %
TOP  CRM
0.8106
N/A
G
NO

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE/ SALICYLIC ACID
DIPROSALIC
0.5 MG / G * 30 MG / G
TOP  ONT
0.9084
N/A
G
NO

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE/ SALICYLIC ACID
DIPROSALIC
0.5 MG / ML * 20 MG / ML
TOP  LOT
0.4512
0.4512
ML
YES

REGULAR BENEFIT

 

BETAMETHASONE DIPROPIONATE/ SALICYLIC ACID
RATIO-TOPISALIC
0.5 MG / ML * 20 MG / ML
TOP  LOT
0.4582
0.4512
ML
YES

REGULAR BENEFIT

 

BETAMETHASONE SODIUM PHOSPHATE
BETNESOL (5MG/100ML)
5 MG / ENM
RT  ENM
10.6292
N/A
ENM
NO

REGULAR BENEFIT

 

BETAMETHASONE VALERATE
BETADERM MILD
0.05 %
TOP  CRM
0.0596
0.0596
G
YES

REGULAR BENEFIT

 

BETAMETHASONE VALERATE
BETADERM MILD
0.05 %
TOP  ONT
0.0694
N/A
G
NO

REGULAR BENEFIT

 

02357879
BETAMETHASONE VALERATE
CELESTODERM-V/2
0.05 %
TOP  ONT
N/A
N/A
G
NO

NOT A BENEFIT *

BETAMETHASONE VALERATE
TEVA-ECTOSONE MILD
0.05 %
TOP  CRM
0.0596
0.0596
G
YES

REGULAR BENEFIT

 

BETAMETHASONE VALERATE
TEVA-ECTOSONE MILD
0.05 %
TOP  LOT
0.2846
N/A
ML
NO

REGULAR BENEFIT

 

BETAMETHASONE VALERATE
BETADERM REGULAR
0.1 %
TOP  CRM
0.0889
0.0889
G
YES

REGULAR BENEFIT

 

BETAMETHASONE VALERATE
BETADERM REGULAR
0.1 %
TOP  ONT
0.1034
N/A
G
NO

REGULAR BENEFIT

 

02357844
BETAMETHASONE VALERATE
CELESTODERM-V
0.1 %
TOP  CRM
N/A
N/A
G
YES

NOT A BENEFIT *

02357852
BETAMETHASONE VALERATE
CELESTODERM-V
0.1 %
TOP  ONT
N/A
N/A
G
NO

NOT A BENEFIT *

BETAMETHASONE VALERATE
TEVA-ECTOSONE REGULAR
0.1 %
TOP  CRM
0.0889
0.0889
G
YES

REGULAR BENEFIT

 

BETAMETHASONE VALERATE
TEVA-ECTOSONE REGULAR
0.1 %
TOP  LOT
0.3529
N/A
ML
NO

REGULAR BENEFIT

 

BETAMETHASONE VALERATE
TEVA-ECTOSONE SCALP
0.1 %
SCP  LOT
0.0853
N/A
ML
NO

REGULAR BENEFIT

 

02366924
BETAMETHASONE VALERATE
LUXIQ
0.12 %
TOP  FOA
N/A
N/A
G
NO

NOT A BENEFIT *

BUDESONIDE
ENTOCORT (115 ML)
2.3 MG / ENM
RT  ENM
8.8900
N/A
ENM
NO

REGULAR BENEFIT

 

CLOBETASOL 17-PROPIONATE
DERMOVATE
0.05 %
SCP  LOT
0.7312
0.1990
ML
YES

REGULAR BENEFIT

 

CLOBETASOL 17-PROPIONATE
DERMOVATE
0.05 %
TOP  CRM
0.9116
0.2279
G
YES

REGULAR BENEFIT

 

CLOBETASOL 17-PROPIONATE
DERMOVATE
0.05 %
TOP  ONT
0.9116
0.2279
G
YES

REGULAR BENEFIT

 

CLOBETASOL 17-PROPIONATE
MYLAN-CLOBETASOL
0.05 %
SCP  LOT
0.1990
0.1990
ML
YES

REGULAR BENEFIT

CLOBETASOL 17-PROPIONATE
MYLAN-CLOBETASOL
0.05 %
TOP  CRM
0.2279
0.2279
G
YES

REGULAR BENEFIT

CLOBETASOL 17-PROPIONATE
MYLAN-CLOBETASOL
0.05 %
TOP  ONT
0.2279
0.2279
G
YES

REGULAR BENEFIT

CLOBETASOL 17-PROPIONATE
TARO-CLOBETASOL
0.05 %
SCP  LOT
0.1990
0.1990
ML
YES

REGULAR BENEFIT

 

CLOBETASOL 17-PROPIONATE
TARO-CLOBETASOL
0.05 %
TOP  CRM
0.2279
0.2279
G
YES

REGULAR BENEFIT

 

CLOBETASOL 17-PROPIONATE
TARO-CLOBETASOL
0.05 %
TOP  ONT
0.2279
0.2279
G
YES

REGULAR BENEFIT

 

CLOBETASOL 17-PROPIONATE
TEVA-CLOBETASOL
0.05 %
SCP  LOT
0.1990
0.1990
ML
YES

REGULAR BENEFIT

CLOBETASOL 17-PROPIONATE
TEVA-CLOBETASOL
0.05 %
TOP  CRM
0.2279
0.2279
G
YES

REGULAR BENEFIT

 

CLOBETASOL 17-PROPIONATE
TEVA-CLOBETASOL
0.05 %
TOP  ONT
0.2279
0.2279
G
YES

REGULAR BENEFIT

 

COMPOUND PRESCRIPTION
COMBINATION ANTI-INFECTIVE /CORTICOSTEROID

0.0000
0.0000
MIS
NO

RESTRICTED BENEFIT

 

COMPOUND PRESCRIPTION
COMBINATION ANTI-INFECTIVE/CORTICOSTEROID

0.0000
0.0000
MIS
NO

RESTRICTED BENEFIT

 

COMPOUND PRESCRIPTION
COMPOUND-CORTICOSTEROIDS - TOPICAL

TOP 
0.0000
0.0000
MIS
NO

RESTRICTED BENEFIT

 

COMPOUND PRESCRIPTION
COMPOUND-CORTICOSTEROIDS - TOPICAL

TOP 
0.0000
0.0000
MIS
NO

RESTRICTED BENEFIT

 

DESONIDE
PDP-DESONIDE
0.05 %
TOP  CRM
0.3757
N/A
G
NO

REGULAR BENEFIT

 

DESONIDE
PDP-DESONIDE
0.05 %
TOP  ONT
0.3742
N/A
G
NO

REGULAR BENEFIT

 

DESOXIMETASONE
TOPICORT MILD
0.05 %
TOP  CRM
0.5129
N/A
G
NO

REGULAR BENEFIT

 

DESOXIMETASONE
TOPICORT
0.25 %
TOP  CRM
0.7181
N/A
G
NO

REGULAR BENEFIT

 

02162504
FLUOCINOLONE ACETONIDE
SYNALAR
0.01 %
TOP  SOL
N/A
N/A
ML
NO

NOT A BENEFIT *

02162512
FLUOCINOLONE ACETONIDE
SYNALAR
0.025 %
TOP  ONT
N/A
N/A
G
NO

NOT A BENEFIT *

FLUOCINONIDE
LIDEMOL
0.05 %
TOP  EMCRM
0.2122
N/A
G
NO

REGULAR BENEFIT

FLUOCINONIDE
LIDEX
0.05 %
TOP  CRM
0.2550
N/A
G
NO

REGULAR BENEFIT

FLUOCINONIDE
LIDEX
0.05 %
TOP  GEL
0.3298
N/A
G
NO

REGULAR BENEFIT

FLUOCINONIDE
LIDEX
0.05 %
TOP  ONT
0.3229
N/A
G
NO

REGULAR BENEFIT

FLUOCINONIDE
LYDERM
0.05 %
TOP  CRM
0.2498
N/A
G
NO

REGULAR BENEFIT

 

FLUOCINONIDE
LYDERM
0.05 %
TOP  GEL
0.3232
N/A
G
NO

REGULAR BENEFIT

 

FLUOCINONIDE
LYDERM
0.05 %
TOP  ONT
0.3153
N/A
G
NO

REGULAR BENEFIT

 

FLUOCINONIDE
TIAMOL
0.05 %
TOP  EMCRM
0.2079
N/A
G
NO

REGULAR BENEFIT

 

HALOBETASOL PROPIONATE
ULTRAVATE
0.05 %
TOP  CRM
0.9766
N/A
G
NO

REGULAR BENEFIT

 

HYDROCORTISONE
CORTODERM MILD
0.5 %
TOP  ONT
0.1720
N/A
G
NO

REGULAR BENEFIT

 

HYDROCORTISONE
CORTODERM REGULAR
1 %
TOP  ONT
0.0542
N/A
G
NO

REGULAR BENEFIT

 

HYDROCORTISONE
JAMP-HYDROCORTISONE
1 %
TOP  LOT
0.1191
N/A
ML
NO

REGULAR BENEFIT

HYDROCORTISONE
PREVEX HC
1 %
TOP  OCLCRM
0.2703
N/A
G
NO

REGULAR BENEFIT

02412926
HYDROCORTISONE
SANDOZ HYDROCORTISONE
1 %
TOP  CRM
N/A
N/A
G
NO

NOT A BENEFIT *

HYDROCORTISONE
CORTENEMA (100MG/60ML)
100 MG / ENM
RT  ENM
7.6483
N/A
ENM
NO

REGULAR BENEFIT

 

HYDROCORTISONE 17-VALERATE
HYDROVAL
0.2 %
TOP  CRM
0.1667
N/A
G
NO

REGULAR BENEFIT

 

HYDROCORTISONE 17-VALERATE
HYDROVAL
0.2 %
TOP  ONT
0.1667
N/A
G
NO

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE
HYDERM
0.5 %
TOP  CRM
0.1909
N/A
G
NO

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE
DERMAFLEX HC
1 %
TOP  LOT
0.1023
N/A
ML
NO

REGULAR BENEFIT

HYDROCORTISONE ACETATE
HYDERM
1 %
TOP  CRM
0.0533
N/A
G
NO

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE
CORTIFOAM
10 %
RT  FOA
6.7758
N/A
G
NO

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE/ PRAMOXINE HCL
PROCTOFOAM-HC
1 % * 1 %
RT  FOA
1.3839
N/A
G
NO

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE/ PRAMOXINE HCL/ ZINC SULFATE
ANUGESIC-HC
0.5 % * 1 % * 0.5 %
RT  ONT
0.9100
0.7314
G
YES

REGULAR BENEFIT

HYDROCORTISONE ACETATE/ PRAMOXINE HCL/ ZINC SULFATE
PROCTODAN-HC
0.5 % * 1 % * 0.5 %
RT  ONT
0.7314
0.7314
G
YES

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE/ PRAMOXINE HCL/ ZINC SULFATE
ANUGESIC-HC
10 MG * 20 MG * 10 MG
RT  SUP
1.3650
0.8216
SUP
YES

REGULAR BENEFIT

HYDROCORTISONE ACETATE/ PRAMOXINE HCL/ ZINC SULFATE
PROCTODAN-HC
10 MG * 20 MG * 10 MG
RT  SUP
0.8216
0.8216
SUP
YES

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE/ UREA
DERMAFLEX HC
1 % * 10 %
TOP  CRM
0.1819
N/A
G
NO

REGULAR BENEFIT

HYDROCORTISONE ACETATE/ UREA
JAMP-HYDROCORTISONE ACETATE/UREA
1 % * 10 %
TOP  CRM
N/A
N/A
G
NO

UNDER REVIEW *

HYDROCORTISONE ACETATE/ ZINC SULFATE
ANODAN-HC
0.5 % * 0.5 %
RT  ONT
0.3850
0.3850
G
YES

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE/ ZINC SULFATE
ANUSOL-HC
0.5 % * 0.5 %
RT  ONT
0.7827
0.3850
G
YES

REGULAR BENEFIT

HYDROCORTISONE ACETATE/ ZINC SULFATE
JAMPZINC-HC
0.5 % * 0.5 %
RT  ONT
0.3850
0.3850
G
YES

REGULAR BENEFIT

HYDROCORTISONE ACETATE/ ZINC SULFATE
SANDOZ ANUZINC HC
0.5 % * 0.5 %
RT  ONT
0.3850
0.3850
G
YES

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE/ ZINC SULFATE
ANODAN-HC
10 MG * 10 MG
RT  SUP
0.6124
0.6124
SUP
YES

REGULAR BENEFIT

 

HYDROCORTISONE ACETATE/ ZINC SULFATE
ANUSOL-HC
10 MG * 10 MG
RT  SUP
1.1183
0.6124
SUP
YES

REGULAR BENEFIT

HYDROCORTISONE/ CINCHOCAINE HCL/ FRAMYCETIN SULFATE/ ESCULIN
PROCTOL
5 MG * 5 MG * 10 MG * 10 MG
RT  SUP
0.6000
0.6000
SUP
YES

REGULAR BENEFIT

 

HYDROCORTISONE/ CINCHOCAINE HCL/ FRAMYCETIN SULFATE/ ESCULIN
SANDOZ PROCTOMYXIN HC
5 MG * 5 MG * 10 MG * 10 MG
RT  SUP
0.6000
0.6000
SUP
YES

REGULAR BENEFIT

HYDROCORTISONE/ CINCHOCAINE HCL/ FRAMYCETIN SULFATE/ ESCULIN
TEVA-PROCTOSONE
5 MG * 5 MG * 10 MG * 10 MG
RT  SUP
0.6000
0.6000
SUP
YES

REGULAR BENEFIT

HYDROCORTISONE/ CINCHOCAINE HCL/ FRAMYCETIN SULFATE/ ESCULIN
PROCTOL
5 MG / G * 5 MG / G * 10 MG / G * 10 MG / G
RT  ONT
0.4000
0.4000
G
YES

REGULAR BENEFIT

 

HYDROCORTISONE/ CINCHOCAINE HCL/ FRAMYCETIN SULFATE/ ESCULIN
PROCTOSEDYL
5 MG / G * 5 MG / G * 10 MG / G * 10 MG / G
RT  ONT
0.8641
0.4000
G
YES

REGULAR BENEFIT

 

HYDROCORTISONE/ CINCHOCAINE HCL/ FRAMYCETIN SULFATE/ ESCULIN
SANDOZ PROCTOMYXIN HC
5 MG / G * 5 MG / G * 10 MG / G * 10 MG / G
RT  ONT
0.4000
0.4000
G
YES

REGULAR BENEFIT

HYDROCORTISONE/ CINCHOCAINE HCL/ FRAMYCETIN SULFATE/ ESCULIN
TEVA-PROCTOSONE
5 MG / G * 5 MG / G * 10 MG / G * 10 MG / G
RT  ONT
0.4000
0.4000
G
YES

REGULAR BENEFIT

METHYLPREDNISOLONE ACETATE/ NEOMYCIN SULFATE/ ALUMINUM CHLORHYDROXIDE COMPLEX/ SULFUR
NEO-MEDROL ACNE
2.5 MG / ML * 2.5 MG / ML * 100 MG / ML * 50 MG / ML
TOP  LOT
0.2906
N/A
ML
NO

SPECIAL AUTHORIZATION

 

MOMETASONE FUROATE
ELOCOM
0.1 %
TOP  CRM
0.7098
0.5708
G
YES

REGULAR BENEFIT

 

MOMETASONE FUROATE
ELOCOM
0.1 %
TOP  LOT
0.4759
0.3788
ML
YES

REGULAR BENEFIT

 

MOMETASONE FUROATE
ELOCOM
0.1 %
TOP  ONT
0.6384
0.6013
G
YES

REGULAR BENEFIT

 

MOMETASONE FUROATE
TARO-MOMETASONE
0.1 %
TOP  CRM
0.5708
0.5708
G
YES

REGULAR BENEFIT

MOMETASONE FUROATE
TARO-MOMETASONE
0.1 %
TOP  LOT
0.3788
0.3788
ML
YES

REGULAR BENEFIT

MOMETASONE FUROATE
TEVA-MOMETASONE
0.1 %
TOP  ONT
0.6013
0.6013
G
YES

REGULAR BENEFIT

 

TRIAMCINOLONE ACETONIDE
ARISTOCORT R
0.1 %
TOP  CRM
0.1401
0.1024
G
YES

REGULAR BENEFIT

 

TRIAMCINOLONE ACETONIDE
ARISTOCORT R
0.1 %
TOP  ONT
0.1404
N/A
G
NO

REGULAR BENEFIT

 

TRIAMCINOLONE ACETONIDE
ORACORT
0.1 %
DEN  PST
1.4707
N/A
G
NO

REGULAR BENEFIT

 

TRIAMCINOLONE ACETONIDE
TRIADERM REGULAR
0.1 %
TOP  CRM
0.1024
0.1024
G
YES

REGULAR BENEFIT

 

TRIAMCINOLONE ACETONIDE
ARISTOCORT C
0.5 %
TOP  CRM
1.2352
N/A
G
NO

REGULAR BENEFIT

 


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