clobetasol propionate/emollient base

0.05 % — Foam

CORTICOSTEROIDS-IMMUNE MODULATORS

Also known as: CLOBETASOL EMOLLIENT OLUX-E CLOBETASOL EMULSION TOVET EMOLLIENT

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 20 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary PA
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