| TIER | DRUG |
| Topical Anti-inflammatories – Topical Steroids |
| CLASS l |
| 1 | CLOBETASOL 0.05% OINTMENT, 15.0g/1 tube |
| 2 | CLOBETASOL 0.05% SHAMPOO, 118.0ml/l bottle |
| 1 | CLOBETASOL 0.05% SOLUTION, 50.0ml/1 bottle |
| CLASS 2 |
| 1 | FLUOCINONIDE 0.05% OINTMENT, 15.0g/1 tube |
| 1 | FLUOCINONIDE 0.05% SOLUTION, 60ml/1 bottle |
| 1 | DESOXIMETASONE 0.25% OINTMENT, 15.0g/1 tube |
| CLASS 4 |
| 1 | TRIAMCINOLONE 0.1% CREAM, 30.0g or 80.0g/1 tube |
| 2 | TRIAMCINOLONE 0.1% CREAM, 454.0g/1 tube |
| 1 | TRIAMCINOLONE 0.1% OINTMENT, 15.0g/1 tube |
| CLASS 5 |
| 1 | TRIAMCINOLONE 0.025% OINTMENT, 80.0g/1 tube |
| CLASS 6 |
| 1 | HYDROCORTISONE 2.5% CREAM, 30.0g/1 tube |
| 2 | DERMA-SMOOTHE-FS BODY OIL 0.01%, 118.28ml/1 bottle |
| Topical Anti-inflammatories – Non Steroidals |
| 2 | TACROLIMUS 0.1% OINTMENT, 30.0g/1 tube |
| Topical Antifungals |
| 1 | CICLOPIROX 0.77% CREAM, 15.0g/1 tube |
| 1 | KETOCONAZOLE 2% CREAM, 15.0g/1 tube |
| 2 | CICLOPIROX 1% SHAMPOO, 120.0ml/1 bottle |
| Acne – Retinoids |
| 2 | TRETINOIN 0.025% CREAM, 20.0g/1 tube |
| 2 | TRETINOIN 0.05% CREAM, 20.0g/l tube |
| 2 | DIFFERIN 0.3% GEL PUMP, 45.0g/1 tube |
| 1 | ADAPALENE-BNZYL PEROX 0.3-2.5%, 45.0g/1 pump btl |
| Other |
| 2 | SOD SULFACET-SULFUR 10-5% CLSR % (W/W), 340.2g/1 btl |
| 1 | BENZOYL PEROXIDE 10% WASH |
| 1 | METRONIDAZOLE 0.75% CREAM, 45.0g/1 tube |
| 2 | CLINDAMYCIN PHOSP BENZOYL PEROX 1.2-5% GEL, 45.0g/1 tube |
| 1 | CLINDAMYCIN PHOSP 1% GEL, 60.0ml/1 bottle |
| Miscellaneous |
| 2 | DRYSOL DAB-O-MATIC SOLUTION, 37.5ml/1 bottle |
| 2 | FLUOROURACIL 5% CREAM, 40.0g/1 tube |
| 1 | HYDROQUINONE 4% CREAM, 28.35g/1 tube |
| 2 | IMIQUIMOD 5% CREAM PACKET, 24.0 each/packet |
| 1 | MUPIROCIN 2% OINTMENT, 22.0g/1 tube |
| 1 | PERMETHRIN 5% CREAM, 60.0g/1 tube |
| Orals |
| 1 | PREDNISONE 10 MG TABLET, 100.0 each/1 bottle |
| 1 | DOXYCYCLINE HYCLATE 100 MG TAB, 50.0 each/1 bottle |
| 1 | DOXYCYCLINE HYCLATE 20 MG TAB, 100.0 each/1 bottle |
| 1 | BACTRIM DS TABLET 800-160 MG, 100.0 each/1 bottle |
| 2 | VALACYCLOVIR HCL 1 GRAM TABLET, 30.0 each/1 bottle |
| 1 | TERBINAFINE HCL 250 MG TABLET, 30.0 each/1 bottle |
| 1 | FLUCONAZOLE 100 MG TABLET, 30.0 each/1 bottle |
| 1 | SPIRONOLACTONE 50 MG TABLET, 100.0 each/1 bottle |
| 1 | CETIRIZINE HCL 10 MG TABLET, 14.0 each/1 box |
| 1 | FINASTERIDE 1 MG TABLET, 30.0 each/1 bottle |
| 1 | GABAPENTIN 300 MG CAPSULE, 100.0 each/1 bottle |
| 1 | MINOXIDIL 2.5 MG TABLET, 100.0 each/1 bottle |
