clobetasol emulsion
Generic: clobetasol propionate/emollient base
0.05 % — FOAM (GRAM)
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
TRICARE
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| TRICARE Uniform Formulary 2026 | Tier 1 - Generic Formulary | ✓ | — | — | PA PA: 1270/48001/90693 PA DRUGS, DOD PA REQUIRED |
|
TRICARE Uniform Formulary 2026
via Olux-E |
Tier 3 - Non-Formulary | ✓ | — | — | PA PA: 1270/48001/90693 PA DRUGS, DOD PA REQUIRED |
|
TRICARE Uniform Formulary 2026
via clobetasol propionate/emoll |
Tier 3 - Non-Formulary | ✓ | — | — | PA PA: 1270/48001/90693 PA DRUGS, DOD PA REQUIRED |