| V.
DERMATOLOGY |
| A.
Acne |
| GENERIC
NAME |
RELATIVE
COST |
BRAND
NAME |
| Acne
Rosacea |
| azelaic acid 15% gel |
$$$$$$ |
FINACEA™ |
| metronidazole gel/cream/lotion
|
$$$$$$$ |
METROGEL® |
| Acne
Vulgaris |
| Oral |
| tetracycline |
$ |
SUMYCIN® |
| doxycycline hyclate |
$$$$ |
VIBRAMYCIN® |
| erythromycin delayed-rel |
$$$$ |
ERY-TAB® |
| minocycline, except 75mg |
$$$$$$$$ |
MINOCIN® |
| isotretinoin
|
$$$$$$$$$$ |
ACCUTANE® |
| Topical |
| erythromycin soln |
$ |
T-STAT®
|
| clindamycin gel |
$$ |
CLEOCIN T®
|
| benzoyl peroxide |
$$ |
BENZAC®
AC |
| erythromycin gel 2% |
$$$$ |
EMGEL®
|
| clindamycin lotion |
$$$$ |
CLEOCIN T®
|
| clindamycin soln |
$$$$$ |
CLEOCIN T®
|
| sulfacetamide |
$$$$$ |
KLARON®
|
| tretinoin (PA) |
$$$$$ |
AVITA®
(PA) |
| tretinoin (PA) |
$$$$$$ |
RETIN-A®
(PA) |
| tretinoin gel (PA) |
$$$$$$$ |
RETIN-A®
MICRO®(PA) |
| erythromycin/benzoyl
peroxide |
$$$$$$$$ |
BENZAMYCIN®
|
| B.
Bacterial Infections |
| GENERIC
NAME |
RELATIVE
COST |
BRAND
NAME |
| gentamicin
|
$
|
GARAMYCIN®
|
| silver
sulfadiazine |
$
|
SILVADENE®
|
| mupirocin |
$$$$$ |
BACTROBAN® |
| C.
Corticosteroids |
| GENERIC
NAME |
RELATIVE
COST |
BRAND
NAME |
| Low |
| hydrocortisone lotion
1% |
$ |
NUTRACORT®
|
| hydrocortisone cream
2.5% |
$ |
HYTONE®
|
| desonide ointment 0.05%
|
$$ |
DESOWEN®
|
| alclometasone crm/oint 0.05%
|
$$$$ |
ACLOVATE® |
| Medium |
triamcinolone acetonide
crm/lot 0.025% |
$ |
KENALOG®
|
| betamethasone valerate
crm/oint/lotion 0.1% |
$ |
BETA-VAL® |
fluocinolone acetonide
crm/oint 0.025%/soln 0.01% |
$ |
SYNALAR®
|
| triamcinolone acetonide
crm/oint/lotion 0.1% |
$ |
KENALOG®
|
| desoximetasone crm 0.05%
|
$$$ |
TOPICORT®
LP |
| fluticasone propionate cream
0.05%/ointment 0.005% |
$$$$ |
CUTIVATE®
|
| High |
triamcinolone acetonide
cream 0.5% |
$ |
KENALOG®
|
fluocinonide cream/
ointment/gel 0.05% |
$ |
LIDEX®
|
| betamethasone dipropionate
crm/oint/lotion 0.05% |
$ |
DIPROSONE®
|
| desoximetasone crm/oint
0.25%/gel 0.05% |
$$$$ |
TOPICORT® |
| amcinonide crm/oint
0.1% |
$$$$ |
CYCLOCORT® |
| Very
High |
| clobetasol propionate
cream/ointment 0.05% |
$$$$ |
TEMOVATE®
|
| betamethasone dipropionate
augmented ointment 0.05% |
$$$$$ |
DIPROLENE®
|
| betamethasone dipropionate
augmented lotion/gel 0.05% |
$$$$$$ |
DIPROLENE® |
| betamethasone dipropionate
augmented cream 0.05% |
$$$$$$ |
DIPROLENE®
AF |
| D.
Fungal Infections |
| GENERIC
NAME |
RELATIVE
COST |
BRAND
NAME |
| nystatin/triamcinolone
|
$ |
MYCOLOG®-II
|
| nystatin |
$ |
MYCOSTATIN®
|
| miconazole |
$$$$$ |
MONISTAT-DERM® |
| econazole |
$$$$$$ |
SPECTAZOLE®
|
| ketoconazole |
$$$$$$ |
NIZORAL®
|
| oxiconazole |
$$$$$$ |
OXISTAT®
|
| clotrimazole/betamethasone |
$$$$$$$ |
LOTRISONE® |
| ciclopirox |
$$$$$$$$ |
LOPROX® |
| E.
Psoriasis |
| GENERIC
NAME |
RELATIVE
COST |
BRAND
NAME |
| chloroxine |
$$$$ |
CAPITROL®
|
| methotrexate, 2.5mg only |
$$$$$$$$ |
METHOTREXATE |
| calcipotriene |
$$$$$$$$$ |
DOVONEX®
|
| acitretin |
$$$$$$$$$$ |
SORIATANE® |
| F.
Scabies and Pediculosis |
| GENERIC
NAME |
RELATIVE
COST |
BRAND
NAME |
| lindane |
$$ |
LINDANE |
| crotamiton |
$$$ |
EURAX® |
| permethrin 5% |
$$$$$ |
ELIMITE®
|
| malathion |
$$$$$$$ |
OVIDE® |
| G.
Viral Infections |
| GENERIC
NAME |
RELATIVE
COST |
BRAND
NAME |
| acyclovir |
$$$$$$$$ |
ZOVIRAX®
|
| podofilox |
$$$$$$$$$ |
CONDYLOX® |
| imiquimod (MDL) |
$$$$$$$$$ |
ALDARA™ (MDL) |
| H.
Miscellaneous |
| GENERIC
NAME |
RELATIVE
COST |
BRAND
NAME |
| selenium sulfide shampoo
2.5% |
$ |
SELSUN®
|
| hydrocortisone cream |
$$ |
PROCTOCREAM®-HC
2.5% |
| aluminum chloride |
$$ |
DRYSOL® |
| ketoconazole |
$$$$$ |
NIZORAL®
SHAMPOO |
hydrocortisone acetate 1%/
pramoxine cream |
$$$$$$$ |
ANALPRAM-HC® |
| ammonium lactate
|
$$$$$$$ |
LAC-HYDRIN®
|
hydrocortisone acetate/
pramoxine foam |
$$$$$$$ |
PROCTOFOAM®
HC |
| lidocaine/prilocaine (MDL) |
$$$$$$$$ |
EMLA® (MDL) |
| tacrolimus |
$$$$$$$$ |
PROTOPIC® |
| fluorouracil |
$$$$$$$$ |
FLUOROPLEX®
|
| pimecrolimus cream |
$$$$$$$$ |
ELIDEL® |
| fluorouracil |
$$$$$$$$$ |
CARAC™ |
| fluorouracil |
$$$$$$$$$ |
EFUDEX®
|
| becaplermin (MDL) |
$$$$$$$$$$ |
REGRANEX®
(MDL) |
| |
