Interchangeable Grouping
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS
Therapeutic Note(s)
84:04:08 ANTI-INFECTIVES FUNGICIDES
CLOTRIMAZOLE & BETAMETHASONE DIPROPIONATE
1% w/w & 0.05% w/w Top Cr
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
00611174
Lotriderm Cream
(Off-Formulary Interchangeable)
N/A
N/A
02496410
TaroClotrimazole/BetamethasoneDipropiona
(Off-Formulary Interchangeable)
1.0578
N/A
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