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Generic Name Brand Name Strength Dosing 90 Day Cost Coverage Comments Category 1 Category 2
Clobetasol 17-propionate Dermovate 0.05% As dir $20 BC / NIHB - Covered Topicals Topical Corticosteroids
Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.
Betamethasone Dipropionate Diprosone 0.05% As dir $20 BC / NIHB - Covered Topicals Topical Corticosteroids
Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.
Hydrocortisone Cortate 1.00% As dir $20 BC / NIHB - Covered Topicals Topical Corticosteroids
Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.
Isopropyl Myristate Resultz 50% As dir $35 BC / NIHB - Covered Topicals Lice
Amcinonide Cyclocort 0.10% As dir $30 BC / NIHB - Covered Topicals Topical Corticosteroids
Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.
Mometasone Furoate Elocom 0.10% As dir $35 BC / NIHB - Covered Topicals Topical Corticosteroids
Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.
Betamethasone/Calcipotriol Dovobet (60g tube) 0.05/0.005% As dir $100 BC / NIHB - Covered Topicals Miscellaneous Topicals
Pyrethrins/Piperonyl Butoxide R&C 0.33%/3% As dir $25 BC / NIHB - Covered Topicals Lice
Betamethasone Dipropionate Glycol Diprolene 0.05% As dir $30 BC / NIHB - Covered Topicals Topical Corticosteroids
Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.
Dimethicone Nyda 50% As dir $40 BC / NIHB - Covered Topicals Lice
Imiquimod Aldara (24x250mg) 5% As dir $300 BC - SA / NIHB - Covered Topicals Miscellaneous Topicals
Betamethasone Valerate Betaderm/Betnovate 0.10% As dir $15 BC / NIHB - Covered Topicals Topical Corticosteroids
Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.
Tacrolimus Protopic (30g tube) 0.03% As dir $100 BC - SA / NIHB - Covered Topicals Miscellaneous Topicals
Isotretinoin Accutane 40 mg QD x 90 days $205 BC / NIHB - Covered Topicals Acne Treatments
Adapalene Differin (60g tube) 0.10% As dir $225 BC - NC / NIHB - Covered Topicals Acne Treatments
Benzoyl Peroxide/Clindamycin Clindoxyl (45g tube) 5%/1% As dir $50 BC - SA / NIHB - Covered Topicals Acne Treatments
Adapalene/Benzoyl Peroxide TactuPump Forte (70g tube) 0.3%/2.5% As dir $165 BC - NC / NIHB - Covered Topicals Acne Treatments
Permethrin Nix 1% As dir $25 BC / NIHB - Covered Topicals Lice
Legend:
BC = Alberta Blue Cross, NIHB = Non-Insured Health Benefits for First Nations and Inuit, NC = Not covered, SA = special authorization