Ultravate X — Medica
corticosteroid-responsive skin disorders (dermatoses)
Preferred products
- Alclometasone 0.05% ointment/cream
- Betamethasone dipropionate 0.05% lotion/cream/ointment
- Betamethasone dipropionate, augmented 0.05% cream/ointment/lotion
- Betamethasone valerate 0.1% cream/lotion/ointment
- Clobetasol propionate 0.05% cream/emollient cream/gel/ointment/solution
- Desonide 0.05% cream/ointment
- Fluocinolone acetonide 0.01% cream/solution
- Fluocinolone acetonide 0.025% cream/ointment
- Fluocinolone acetonide 0.01% topical oil
- Fluocinonide 0.05% cream/emollient cream/gel/ointment/solution
- Fluticasone propionate 0.05% cream
- Fluticasone propionate 0.005% ointment
- Halobetasol propionate 0.05% cream/ointment
- Hydrocortisone 1% cream/lotion/ointment/solution
- Hydrocortisone 2% lotion
- Hydrocortisone 2.5% cream/lotion/ointment
- Hydrocortisone butyrate 0.1% cream/emollient cream
- Hydrocortisone valerate 0.2% cream/ointment
- Mometasone furoate 0.1% cream/lotion/ointment/solution
- Prednicarbate 0.1% cream/ointment
- Triamcinolone acetonide 0.025% cream/lotion/ointment
- Triamcinolone acetonide 0.1% cream/lotion/ointment
- Triamcinolone acetonide 0.5% cream/ointment
Initial criteria
- Patient has tried two prescription Step 1a Products for the current condition
- Products with the same chemical entity and same strength should not be considered as separate products
Approval duration
1 year