Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines (Note: “Therapeutic Interchange” should be placed in the order comments
Steroids (Topical) – Very High Potency
Medication
Ordered
Brand Name
Dosage Form
Frequency
Formulary Medication
Dosage Form
Frequency
Clobetasol 0.05%
Dermovate
Cream, Ointment
As Directed on Order
Halobetasol propionate 0.05% Cream
Same as Ordered
Same as Ordered
Clobetasol 0.05%
Temovate
Diflorasone diacetate 0.05%
Psorcon, ApexCon
Fluocinonide 0.1%
Vanos, Lidex
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines (Note: “Therapeutic Interchange” should be placed in the order comments
Steroids (Topical) – High Potency
Medication Ordered
Brand Name
Dosage Form
Frequency
Formulary Medication
Dosage Form
Frequency
Amcinonide 0.1%
Cyclocort
Cream, Ointment
As Directed on Order
Triamcinolone 0.5%
Same as Ordered
Same as Ordered
Betamethasone 0.05%
Alphatrex
Betamethasone 0.05%
Diprisone
Desoximetasone 0.05 - 0.25%
Topicort
Diflorasone 0.05%
Florane
Diflorasone 0.05%
Maxiflor
Cream
Dilforisone diacetate
Psorcon (Any Strength)
Cream, Ointment
Fluocinonide 0.05 & 0.1%
Lidex
Halcinonide 0.5%
Halog
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines (Note: “Therapeutic Interchange” should be placed in the order comments
Steroids (Topical) – Medium Potency
Medication Ordered
Brand Name
Dosage Form
Frequency
Formulary Medication
Dosage Form
Frequency
Beclometasone Dipropionate 0.025 %
Propaderm
Cream, Ointment
As Directed on Order
Triamcinolone 0.025%
Same as Ordered
Same as Ordered
Betamethasone 0.025%
Beben
Betamethasone 0.025%
Uticort
Clobetasone 0.05%
Eumovate
Desoximetasone 0.05%
Topicort
Diflucortolone valerate 0.1%
Nerisone
Fluocinolone 0.01 – 0.25%*
Synalar
Triamcinolone *
0.025 – 0.1%
Flurandrenolide 0.025 – 0.05%*
Cordran
Flurandrenolide 0.025 – 0.05%*
Drenison
Hydrocortisone butyrate 0.1%
Locoid
Triamcinolone 0.025%
Hydrocortisone valerate 0.2%
Westcort
Mometasone 0.1%
Elocon
Triamcinolone 0.015 – 0.1%*
Kenalog
Triamcinolone *
0.025 – 0.1%
*Note: Convert lower strength to lower strength and higher strength to higher in these cases.
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Steroids (Topical) – Very High Potency
Medication
Ordered
Brand Name
Dosage Form
Frequency
Formulary Medication
Dosage Form
Frequency
Clobetasol 0.05%
Dermovate
Cream, Ointment
As Directed on Order
Halobetasol propionate 0.05% Cream
Same as Ordered
Same as Ordered
Clobetasol 0.05%
Temovate
Diflorasone diacetate 0.05%
Psorcon, ApexCon
Fluocinonide 0.1%
Vanos, Lidex
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Steroids (Topical) – High Potency
Medication
Ordered
Brand Name
Dosage Form
Frequency
Formulary Medication
Dosage Form
Frequency
Amcinonide 0.1%
Cyclocort
Cream, Ointment
As Directed on Order
Triamcinolone 0.5%
Same as Ordered
Same as Ordered
Betamethasone 0.05%
Alphatrex
Betamethasone 0.05%
Diprisone
Desoximetasone 0.05 - 0.25%
Topicort
Diflorasone 0.05%
Florane
Diflorasone 0.05%
Maxiflor
Cream
Dilforisone diacetate
Psorcon (Any Strength)
Cream, Ointment
Fluocinonide 0.05 & 0.1%
Lidex
Halcinonide 0.5%
Halog
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Steroids (Topical) – Medium Potency
Medication
Ordered
Brand Name
Dosage Form
Frequency
Formulary Medication
Dosage Form
Frequency
Beclometasone Dipropionate 0.025 %
Propaderm
Cream, Ointment
As Directed on Order
Triamcinolone 0.025%
Same as Ordered
Same as Ordered
Betamethasone 0.025%
Beben
Betamethasone 0.025%
Uticort
Clobetasone 0.05%
Eumovate
Desoximetasone 0.05%
Topicort
Diflucortolone valerate 0.1%
Nerisone
Fluocinolone 0.01 – 0.25%*
Synalar
Triamcinolone *
0.025 – 0.1%
Flurandrenolide 0.025 – 0.05%*
Cordran
Flurandrenolide 0.025 – 0.05%*
Drenison
Hydrocortisone butyrate 0.1%
Locoid
Triamcinolone 0.025%
Hydrocortisone valerate 0.2%
Westcort
Mometasone 0.1%
Elocon
Triamcinolone 0.015 – 0.1%*
Kenalog
Triamcinolone *
0.025 – 0.1%
*Note: Convert lower strength to lower strength and higher strength to higher in these cases.