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Dovonex and Ultravate or Clobetasol Propionate
from John B.

Dovonex and Ultravate mixed together.  That's what my dermatologist recommends, based on what he says is not-yet-published evidence from NYU medical school.

Blue Shield won't pay for Ultravate, saying that Clobetasol is 'just as good.'

So ... Why was I given nearly-identical red patches on each elbow and upper arm if not to turn myself into a one-man research project? 

I've invested (gasp) $52 in a 30-gram tube of Ultravate, and, for 3 weeks, have been using the Dovonex/Ultravate mixture on one arm (twice a day) and the Blue Shield-approved protocol of Clobetasol and Dovonex each twice a day, but not at the same time.

The Dovonex/Ultravate arm is definitely doing better. I've sent photos to the Blue Shield appeal board, and, to their credit, they are taking it seriously, and have been in touch with the dermatologist; decision promised by month-end.  -John B.

*****

Ed’s Response:  Good for you, John!  Please share the decision with us.  Well, one of the reasons why BS (how appropriate, no?) likes clobetasol propionate better, I’m sure, is that generic version(s) are available.  I’m finishing up a round on one generic as we speak — and, starting day after tomorrow, trying — you guessed it — Dovonex and Ultravate.  My insurer is a Blue Cross/Blue Shield affiliate.  It will be interesting to see if they shun the Ultravate. 

Looks like we’ll both have new things to report next month.  -Ed

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