Clickable Table

Generic Name Brand Name Strength Dosing 90 Day Cost Coverage Comments Category 1 Category 2
Pyrethrins/Piperonyl Butoxide R&C 0.33%/3% As dir $25 BC / NIHB - Covered Topicals Lice
Isopropyl Myristate Resultz 50% As dir $35 BC / NIHB - Covered Topicals Lice
Imiquimod Aldara (24x250mg) 5% As dir $300 BC - SA / NIHB - Covered Topicals Miscellaneous Topicals
Betamethasone/Calcipotriol Dovobet (60g tube) 0.05/0.005% As dir $100 BC / NIHB - Covered Topicals Miscellaneous Topicals
Tacrolimus Protopic (30g tube) 0.03% As dir $95 BC / NIHB - SA Topicals Miscellaneous Topicals
Betamethasone Valerate Betaderm/Betnovate 0.10% As dir $15 BC / NIHB - Covered

Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.

Topicals Topical Corticosteroids
Hydrocortisone Cortate 1.00% As dir $20 BC / NIHB - Covered

Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.

Topicals Topical Corticosteroids
Amcinonide Cyclocort 0.10% As dir $30 BC / NIHB - Covered

Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.

Topicals Topical Corticosteroids
Clobetasol 17-propionate Dermovate 0.05% As dir $20 BC / NIHB - Covered

Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.

Topicals Topical Corticosteroids
Desonide Desonate 0.05% As dir $30 BC / NIHB - Covered

Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.

Topicals Topical Corticosteroids
Betamethasone Dipropionate Glycol Diprolene 0.05% As dir $30 BC / NIHB - Covered

Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.

Topicals Topical Corticosteroids
Betamethasone Dipropionate Diprosone 0.05% As dir $20 BC / NIHB - Covered

Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.

Topicals Topical Corticosteroids
Mometasone Furoate Elocom 0.10% As dir $35 BC / NIHB - Covered

Price is for a 30 g tube of cream; since majority of price is from dispensing fee, large quantities cause small price increases.

Topicals Topical Corticosteroids
Isotretinoin Accutane 40 mg QD x 90 days $205 BC / NIHB - Covered Topicals Acne Treatments
Benzoyl Peroxide/Clindamycin Clindoxyl (45g tube) 5%/1% As dir $50 BC - SA / NIHB Covered Topicals Acne Treatments
Adapalene Differin (60g tube) 0.10% As dir $215 BC - NC / 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
Tretinoin Cream Stieva-A (25g tube) 0.03% As dir $25 BC - SA / NIHB - Covered Topicals Acne Treatments
Permethrin Nix 1% As dir $25 BC / NIHB - Covered Topicals Lice
Dimethicone Nyda 50% As dir $40 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