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Two medicines, side by side

Mometasone vs betamethasone

Mometasone and betamethasone are both labeled for asthma. Drugs@FDA records approvals of mometasone since 1987 and of betamethasone since 1961. Pharmacies paid $0.354 per gram (Mometasone furoate 0.1% cream) and $0.418 per gram (Betamethasone dp 0.05% cream) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the mometasone FDA label on DailyMed (effective August 19, 2026); the betamethasone FDA label on DailyMed (effective January 28, 2026).

Highlights of the mometasone record

Mometasone (Allergy) · label of August 19, 2026

Used for

From the label: indications

temporarily relieves these symptoms of hay fever or other upper respiratory allergies: • nasal congestion • runny nose • sneezing • itchy nose

On the market

Earliest approval on file
April 30, 1987
Generic labelers
16 labelers
Pharmacy cost
$0.354 per gram

Supply and safety

Shortage
No current entry
Recalls
8

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

Source: FDA drug labels via openFDA (Mometasone label of August 19, 2026, Betamethasone label of January 28, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do mometasone and betamethasone differ on the record?

Both are in FDA's class corticosteroids.

Generics: mometasone since 2002; betamethasone since 1979 (Drugs@FDA).

MometasoneBetamethasone
Labeled forAllergies, AsthmaAsthma, Eczema (atopic dermatitis), Anemia, Leukemia, lymphoma and myeloma, Multiple sclerosis, Psoriasis
Pharmacologic classCorticosteroidCorticosteroid
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)April 30, 1987April 17, 1961
First generic approvedMarch 18, 2002January 30, 1979
Generic labelers (NDC)16 labelers28 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.354 per gram (Mometasone furoate 0.1% cream)$0.418 per gram (Betamethasone dp 0.05% cream)
12-month price change-3%-23%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded813
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)41,53110,812
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)

What next?

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