Which Goo should I use? Pharmacy pearls for High potent Corticosteroids

Which Goo should I use? Pharmacy pearls for High potent Corticosteroids

December 8th, 2016 | Clinical ConnectionsNewsPharmacy Pearls

By Jineane Venci

The number of patients subject to high out-of-pocket costs, either through donut holes or deductibles, is rapidly increasing. Here are some quick tips to reduce financial burden for patients requiring topical steroids:

  • For super high potency ointments, gels, or lotions, prescribe generic betamethasone dipropionate over generic clobetasol propionate
  • The cost per gram of clobetasol propionate is almost double that of betamethasone dipropionate with no difference in efficacy.

The cost of topical steroids is based on the total grams prescribed. Considering application in terms of fingertip units can reduce costs and guide patients for appropriate application. In general 1 fingertip unit = 500 mg of product and will cover 1% of BSA with twice daily application. Examples:

  • Apply to 2% of BSA twice daily for 14 days: 500 mg x 2 x 14 days = 14 grams (order one 15 gram tube)
  • Apply to 20% of BSA twice daily for 7 days: 500 mg x 20 x 7 days = 70 grams (order two 45 gram tubes)
Class 1 Steroid – – – Strength – – – Dosage Form – – – Cost Per Gram
Betamethasone dipropionate 0.05% Lotion $2.29
Ointment $2.19
Gel $5.40
Clobetasol propionate 0.05% Lotion $3.78
Ointment $4.59
Gel $10.17

If you have questions about or would like to discuss pharmacotherapy options, please email me at: [email protected]