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Two medicines, side by side

Betamethasone vs halobetasol

Betamethasone and halobetasol are both labeled for psoriasis. Drugs@FDA records approvals of betamethasone since 1961 and of halobetasol since 1990. Pharmacies paid $0.418 per gram (Betamethasone dp 0.05% cream) and $0.620 per gram (Halobetasol prop 0.05% ointmnt) (NADAC, October 7, 2026).

Check it at the source: the betamethasone FDA label on DailyMed (effective January 28, 2026); the halobetasol FDA label on DailyMed (effective June 29, 2026).

Highlights of the betamethasone record

Betamethasone (Celestone) · label of January 28, 2026

Used for

From the label: indications

Topical corticosteroids are indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses.

On the market

Earliest approval on file
April 17, 1961
Generic labelers
28 labelers
Pharmacy cost
$0.418 per gram

Supply and safety

Shortage
No current entry
Recalls
13

Highlights of the halobetasol record

Halobetasol (Ultravate) · label of June 29, 2026

Used for

From the label: indications

Halobetasol propionate ointment, 0.05% is a super-high potency corticosteroid indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid responsive dermatoses. Treatment beyond two consecutive weeks is not recommended, and the total dosage should not exceed 50 g/week because of the potential for the drug to suppress the hypothalamic-pituitary-adrenal (HPA) axis. […]

On the market

Earliest approval on file
December 17, 1990
Generic labelers
6 labelers
Pharmacy cost
$0.620 per gram

Supply and safety

Shortage
No current entry
Recalls
3

Source: FDA drug labels via openFDA (Betamethasone label of January 28, 2026, Halobetasol label of June 29, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do betamethasone and halobetasol differ on the record?

Both are in FDA's class corticosteroids.

Generics: betamethasone since 1979; halobetasol since 2004 (Drugs@FDA).

BetamethasoneHalobetasol
Labeled forAsthma, Eczema (atopic dermatitis), Anemia, Leukemia, lymphoma and myeloma, Multiple sclerosis, PsoriasisPsoriasis
Pharmacologic classCorticosteroidCorticosteroid
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)April 17, 1961December 17, 1990
First generic approvedJanuary 30, 1979December 16, 2004
Generic labelers (NDC)28 labelers6 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.418 per gram (Betamethasone dp 0.05% cream)$0.620 per gram (Halobetasol prop 0.05% ointmnt)
12-month price change-23%-8%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded133
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)10,8121,336
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

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