To order additional copies, please call Massachusetts Medical

Dermatologic Agents (Steroids — Low Potency)
Name AETNA BCBSMA BMCHP FCHP HPHC HNE NHP NTWK MAHLTH THP
ALCLOMETAsONE DIPROPIONATE X* X* X X X X X X X X
ALCLOMETAsONE DIPROPIONATE X X PA X NC PA X
[Aclovate]
DEsONIDE cream, lotion, ointment X* X* X X X X X X X X
DEsONIDE [Desonate] FE X PA X NC PA NC
DEsONIDE [Verdeso] FE X PA PA X PA NC
DEsONIDE 0 .05% [DesOwen] NC X PA X NC PA X
FLUOCINOLONE ACETONIDE 0 .01% X* X* X X X X X X X X
cream, solution
FLUOCINOLONE ACETONIDE X X PA X sT PA PA X
shampoo [Capex]
FLUOCINOLONE ACETONIDE X NC PA X sT X PA X
shampoo [Derma-smoothe/Fs]
HyDROCORTIsONE X* NC X X X X X X X X
HyDROCORTIsONE 2 .5% cream,
lotion, ointment
X* X* X X X X X X X X
HyDROCORTIsONE ACETATE [Nuzon] FE X PA NC PA X
HyDROCORTIsONE/ALOE [Nucort] FE NC PA X
Dermatologic Agents (Steroids — Medium Potency)
BETAMETHAsONE DIPROPIONATE X* X* X X X X X X X X
BETAMETHAsONE VALERATE [Luxiq] FE sT X PA PA X PA PA X
BETAMETHAsONE VALERATE 0 .1%
cream, lotion
X* X* X X X X X X X X
CLOCORTOLONE PIVALATE [Cloderm] FE X X X sT PA PA X
DEsOXIMETAsONE 0 .05%
cream, gel
X* X* X X X X X X X X
DEsOXIMETAsONE [Topicort LP] X X PA X NC PA X
FLUOCINOLONE ACETONIDE
cream, ointment
X* X* X X X X X X X X
FLURANDRENOLIDE [Cordran] FE X X X PA PA X
FLURANDRENOLIDE [Cordran sP] FE X X X PA PA X
FLUTICAsONE PROPIONATE cream,
ointment
X* X* X X X X X X X X
FLUTICAsONE PROPIONATE [Cutivate] X* X PA X NC PA PA X
HyDROCORTIsONE BUTyRATE X* X* X X X X X X X X
HyDROCORTIsONE BUTyRATE [Locoid] X X X X NC PA PA X
29