Sutter Health Plus
Diprolene (betamethasone, augmented)
Drugs for the Skin : Drugs for the Skin
  • Derm: Acne Vulgaris:
    Duration: 1 year(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Limited to non-cosmetic use: No

  • Prior Authorization: PA Required
  • Prior Authorization: PA_APPLIES
  • Quantity Limit: 4 tablets per 1 day(s).