Topical Corticosteroids - Illinois Department of Healthcare and ...
Topical Corticosteroids - Illinois Department of Healthcare and ...
Topical Corticosteroids - Illinois Department of Healthcare and ...
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Potency<br />
Super-High<br />
Potency<br />
All super-high<br />
potency<br />
corticosteroids<br />
require prior<br />
approval for<br />
children<br />
under 12.<br />
High<br />
<strong>Illinois</strong> <strong>Department</strong> <strong>of</strong> <strong>Healthcare</strong> <strong>and</strong> Family Services<br />
<strong>Topical</strong> <strong>Corticosteroids</strong><br />
PA<br />
Generic<br />
Required Drug/Strength Dosage Form<br />
Available Trade Names<br />
N Augmented Betamethasone dipropionate Ointment Y Diprolene<br />
(Propylene glycol) 0.05% Gel Y Diprolene<br />
Cream Y Cormax, Embeline, Temovate<br />
Emollient cream Y Embelline E, Temovate E<br />
N Clobetasol propionate 0.05%<br />
Gel Y Clobevate, Embeline, Temovate<br />
Ointment Y Cormax, Embeline, Temovate<br />
Solution Y Cormax, Embeline, Temovate<br />
Emollient foam N Olux-E<br />
Foam N Olux<br />
Y Clobetasol propionate 0.05%<br />
Lotion N Clobex<br />
Shampoo N Clobex<br />
Spray N Clobex<br />
Y Fluocinonide 0.1% Cream N Vanos<br />
Cream Y Ultravate<br />
N Halobetasol propionate 0.05% Ointment Y Ultravate<br />
Y Amcinonide 0.1% Ointment Y Cyclocort<br />
N Augmented Betamethasone dipropionate Cream Y Diprolene AF<br />
(Propylene glycol) 0.05% Lotion N Diprolene<br />
Gel Y Alphatrex<br />
N Betamethasone dipropionate 0.05% Ointment Y Alphatrex, Diprosone, Maxivate<br />
Cream Y Topicort<br />
N Desoximetasone 0.25% Ointment Y Topicort<br />
N Desoximetasone 0.05% Gel Y Topicort<br />
N Diflorasone diacetate 0.05% Ointment Y Maxiflor, Psorcon<br />
Emollient cream N Apexicon-E, Psorcon-E<br />
Y Diflorasone diacetate 0.05% Emollient ointment N Psorcon-E<br />
Cream Y Lidex<br />
N Fluocinonide 0.05%<br />
Emollient cream Y Lidex E<br />
Gel Y Lidex<br />
Ointment Y Lidex<br />
Solution Y Lidex
Potency<br />
Medium-High<br />
Medium<br />
Medium-Low<br />
<strong>Illinois</strong> <strong>Department</strong> <strong>of</strong> <strong>Healthcare</strong> <strong>and</strong> Family Services<br />
<strong>Topical</strong> <strong>Corticosteroids</strong><br />
PA<br />
Generic<br />
Required Drug/Strength Dosage Form<br />
Available Trade Names<br />
Cream N Halog<br />
Y Halocinonide 0.1%<br />
Emollient cream N Halog-E<br />
Ointment N Halog<br />
Solution N Halog<br />
N Triamcinolone acetonide 0.5% Ointment Y Aristocort HP<br />
Cream Y Cyclocort<br />
Y Amcinonide 0.1% Lotion Y Cyclocort<br />
N Betamethasone dipropionate 0.05% Cream Y Diprosone<br />
N Betamethsone valerate 0.1% Ointment Y Valisone<br />
N Desoximetasone 0.05% Cream Y Topicort LP<br />
N Diflorasone diacetate 0.05% Cream Y Maxiflor, Psorcon<br />
N Flur<strong>and</strong>renolide 4 mcg/cm 2<br />
Tape N Cordran<br />
N Fluticasone Propionate 0.005% Ointment Y Cutivate<br />
N Mometasone furoate 0.1% Ointment Y Elocon<br />
N Triamcinolone acetonide 0.5% Cream Y Kenalog<br />
N Triamcinolone acetonide 0.1% Ointment Y Kenalog<br />
Y Betamethasone valerate 0.12% Foam N Luxiq<br />
N Fluocinolone acetonide 0.025% Ointment Y Synalar<br />
Y Hydrocortisone Probutate 0.1% Cream N P<strong>and</strong>el<br />
N Hydrocortisone Valerate 0.2% Ointment Y Westcort<br />
Cream Y Elocon<br />
N Mometasone furoate 0.1% Lotion/Solution Y Elocon<br />
N Triamcinolone acetonide 0.1% Cream Y Kenalog<br />
N Betamethasone dipropionate 0.05% Lotion Y Diprosone<br />
N Betamethasone valerate 0.1% Cream Y Beta-Val, Valisone<br />
N Desonide 0.05% Ointment Y DesOwen, Tridesilon<br />
Y Desonide 0.05% Gel N Desonate<br />
N Fluocinolone acetonide 0.025% Cream Y Synalar
Potency<br />
Low<br />
Very-Low<br />
<strong>Illinois</strong> <strong>Department</strong> <strong>of</strong> <strong>Healthcare</strong> <strong>and</strong> Family Services<br />
<strong>Topical</strong> <strong>Corticosteroids</strong><br />
PA<br />
Generic<br />
Required Drug/Strength Dosage Form<br />
Available Trade Names<br />
Y Flur<strong>and</strong>renolide 0.05% Lotion N Cordran<br />
N Fluticasone Propionate 0.05% Cream Y Cutivate<br />
Y Fluticasone Propionate 0.05% Lotion N Cutivate<br />
Cream Y Locoid<br />
Y Hydrocortisone Butyrate 0.1%<br />
Emollient Cream N Locoid Lipocream<br />
Ointment Y Locoid<br />
Solution Y Locoid<br />
N Hydrocortisone Valerate 0.2% Cream Y Westcort<br />
Cream Y Dermatop<br />
N Prednicarbate 0.1% Ointment N Dermatop<br />
N Triamcinolone acetonide 0.1% Lotion Y Kenalog<br />
N Triamcinolone acetonide 0.025% Ointment Y Kenalog<br />
N Alclometasone dipropionate 0.05% Cream Y Aclovate<br />
Ointment Y Aclovate<br />
N Betamethasone valerate 0.1% Lotion Y Beta-Val, Valisone<br />
Y Clocortolone pivalate 0.1% Cream N Cloderm<br />
N Desonide 0.05%<br />
Cream Y DesOwen, Tridesilon<br />
Lotion Y DesOwen, LoKara<br />
Y Desonide 0.05% Foam N Verdeso<br />
Cream Y Synalar<br />
N Fluocinolone acetonide 0.01%<br />
Oil, Body & Scalp N Derma-Smoothe/FS<br />
Solution Y Synalar<br />
Y Fluocinolone acetonide 0.01% Shampoo N Capex<br />
Aerosol Spray N Kenalog<br />
N Triamcinolone acetonide 0.025%<br />
Cream Y Kenalog<br />
Lotion Y Kenalog<br />
Cream Y Hytone<br />
N Hydrocortisone 2.5%<br />
Lotion Y Hytone, Nutracort<br />
Ointment Y Hytone<br />
Solution N Texacort<br />
Y Hydrocortisone acetate/Aloe vera 2% Gel Y Nuzon<br />
Cream Y Cortizone-10 Plus, Hytone
<strong>Illinois</strong> <strong>Department</strong> <strong>of</strong> <strong>Healthcare</strong> <strong>and</strong> Family Services<br />
<strong>Topical</strong> <strong>Corticosteroids</strong><br />
PA<br />
Generic<br />
Potency Required Drug/Strength Dosage Form<br />
Available Trade Names<br />
N Hydrocortisone 1%<br />
Lotion Y Nutracort<br />
Ointment Y<br />
Y Hydrocortisone acetate/urea 1% Cream Y Carmol HC, U-Cort<br />
N Hydrocortisone 0.5% Cream Y<br />
Y Hydrocortisone 0.5% Ointment Y<br />
Y = yes; N = no
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