RATIO-TOPISALIC 0.5 MG — DIN 02245688
BETAMETHASONE (BETAMETHASONE DIPROPIONATE) : 0.5 MG SALICYLIC ACID : 20 MG · TEVA CANADA LIMITED · LOTION · wholesale supply in Canada
Health Canada status: CANCELLED POST MARKET
What is RATIO-TOPISALIC?
RATIO-TOPISALIC 0.5 MG contains BETAMETHASONE (BETAMETHASONE DIPROPIONATE) : 0.5 MG SALICYLIC ACID : 20 MG. It is listed in the Health Canada Drug Product Database under DIN 02245688, held by TEVA CANADA LIMITED, supplied as LOTION for TOPICAL administration. Health Canada currently lists it as cancelled post market, status dated 27-Mar-2026. Nexara Health is a licensed Canadian wholesale distributor (DEL 3-002896-A) and can source this product for hospitals, pharmacies and clinics. Availability and lead time are confirmed per order.
What is RATIO-TOPISALIC used for?
Anti-inflammatory, antipruritic and keratolytic activity for topical management of subacute and chronic hyperkeratotic and dry dermatoses responsive to corticosteroid therapy.
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
How much does Betamethasone cost around the world?
Betamethasone is listed on 6 of the national price registers Nexara ingests. Each country publishes on a different basis, so those figures are not comparable with one another — or with a Canadian wholesale price.
What a market publishes matters more than the number it publishes. Bahrain publishes a retail (max); Greece publishes a producer price (ex-factory); Morocco publishes a PPV (public price). Comparing an ex-factory ceiling against a pharmacy public price tells you nothing about either, and comparing either against a Canadian landed cost tells you less.
| Market | Price basis published there | Brands | Packs listed | Range |
|---|---|---|---|---|
| South Africa | single exit price | 24 | 43 | ZAR███.██ |
| Morocco | PPV (public price) | 10 | 20 | MAD███.██ |
| Greece | producer price (ex-factory) | 7 | 7 | EUR███.██ |
| Bahrain | retail (max) | 5 | 6 | BHD███.██ |
| United Kingdom | hospital | 3 | 3 | GBP███.██ |
| Saudi Arabia | public | 2 | 2 | SAR███.██ |
81 pack listings across 51 brand entries and 6 price bases, refreshed 05 Sep 2026. Ranges span every Betamethasone pack in that market, so a high figure is usually a larger pack rather than the same product.
Canada publishes no comparable public list price. For a delivered Canadian price on a licensed account, verify your licence — it takes about a minute.
Is there a generic Betamethasone in Canada, and who makes it?
Every market authorization holder with a Canadian DIN for this molecule, and how many of their listings Health Canada currently shows as marketed.
2 holders have a Canadian DIN containing Betamethasone, across 4 DINs, of which 2 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.
| Market authorization holder | DINs | Marketed | Brand names | Position |
|---|---|---|---|---|
| ORGANON CANADA INC. | 2 | 1 | DIPROSALIC | Sourceable in Canada |
| TEVA CANADA LIMITED | 2 | 1 | RATIO-TOPISALIC, TEVA-BETAMETHASONE/ CALCIPOTRIOL | Sourceable in Canada |
Health Canada’s Drug Product Database does not flag which listing is the originator and which are subsequent-entry products, so Nexara does not label them here. Interchangeability is determined provincially, not federally — confirm for your province before a formulary switch. Nexara can confirm which of these is actually obtainable, and on what lead time, per order.
How is it supplied and stored?
Pack configuration, storage class and the handling constraints that drive cold-chain planning. One DIN can cover more than one pack size, and the pack — not the DIN — is what gets priced, shipped and invoiced.
| Strength on the label | 0.5 MG |
|---|---|
| Dosage form | LOTION |
| Route | TOPICAL |
| Pack configuration (monograph) | Plastic squeeze bottles of 30 mL and 60 mL. |
| Storage | Store between 15°C and 30°C. |
Before an order line is unambiguous Nexara needs the strength, the pack size and the presentation.
Substance and classification
| Active substance | Betamethasone |
|---|---|
| ATC code | D07XC01 |
| AHFS class | 84:06.00 ; 84:28.00 |
| Biosimilar biologic | No |
Health Canada record and identifiers
The regulatory facts straight from the Drug Product Database, plus every identifier form Nexara accepts on a purchase order. A DIN written without its leading zeros is the commonest reason an order line fails to match.
| DIN (8-digit, as used in ordering) | 02245688 |
|---|---|
| DIN (unpadded, as printed on some documents) | 2245688 |
| Brand name | RATIO-TOPISALIC |
| Generic / active ingredient | BETAMETHASONE (BETAMETHASONE DIPROPIONATE) : 0.5 MG SALICYLIC ACID : 20 MG |
| Market authorization holder | TEVA CANADA LIMITED |
| Health Canada schedule | Prescription |
| ATC code | D07XC01 |
| ATC anatomical main group | D — Dermatologicals |
| ATC therapeutic subgroup | D07XC |
| Current status | CANCELLED POST MARKET |
| Status date | 27-Mar-2026 |
| Original market date | 2002-05-03 00:00:00 |
| Status source | Live Health Canada DPD sync |
Verify on the primary sources
How is it administered?
Apply a thin film to cover affected areas of the scalp completely. Usual frequency is twice daily. Do not use under occlusive dressings.
Included because it drives pack selection and wastage. Consult the monograph.
Contraindications
Hypersensitivity to any ingredient; viral diseases (vaccinia, varicella, herpes simplex); fungal infections; tuberculosis of the skin.
Warnings and precautions
Avoid contact with eyes and mucous membranes. Systemic absorption increases if used on extensive areas or with long-term use. May cause HPA axis suppression or visual disturbances.
What can be used instead?
Alternatives on every axis a buyer actually considers — the same molecule in another presentation, the same class, an adjacent class, or a fixed-dose combination. Every row is led by the marketed DIN count, because that is what can be bought this week.
1 · Same molecule, other Canadian presentations
2 of 4 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.
| Product | Strength | Form | Holder | Health Canada status | DIN |
|---|---|---|---|---|---|
| DIPROSALIC | 0.5 MG | OINTMENT | ORGANON CANADA INC. | MARKETED | 00578436 |
| TEVA-BETAMETHASONE/ CALCIPOTRIOL | 0.5 MG | OINTMENT | TEVA CANADA LIMITED | MARKETED | 02427419 |
| DIPROSALIC | 0.5 MG | LOTION | ORGANON CANADA INC. | CANCELLED POST MARKET | 00578428 |
2 · Same class — other molecules in ATC D07XC
| Molecule | Canadian brands | DINs | Marketed | Sourceable |
|---|---|---|---|---|
| Betamethasone | DIPROSALIC · RATIO-TOPISALIC · TEVA-BETAMETHASONE/ CALCIPOTRIOL | 4 | 2 | Yes |
| Diflucortolone | NERISALIC OILY CREAM | 1 | 0 | Not in Canada |
A molecule with zero marketed DINs cannot be sourced domestically, however many approvals it holds — if one of these sits on a formulary or in an older protocol, that is the line to check.
3 · Adjacent classes in ATC D07X
| ATC subgroup | Molecules | DINs | Marketed |
|---|---|---|---|
| D07XA | Hydrocortisone | 8 | 2 |
| D07XB | Flumetasone | 1 | 0 |
Not clinical advice. These tables describe what can be supplied in Canada, not what should be prescribed. Substitution within or across classes is a prescriber and pharmacist decision, and interchangeability is determined provincially.
What else is RATIO-TOPISALIC called?
The same molecule, Betamethasone, is registered under other names elsewhere. Buyers and prescribers searching from outside Canada — or working from a foreign prescription or tender document — often know it by one of these:
| Name | Script | Registered in |
|---|---|---|
| Betnovate | Latin | South Africa |
| Diprosone | Latin | Morocco, South Africa |
| CELESTENE | Latin | Morocco |
| Lenovate | Latin | South Africa |
| Persivate | Latin | South Africa |
| Betanoid | Latin | South Africa |
| Topivate Cream | Latin | South Africa |
| BETADERM | Latin | Bahrain |
| BETNEVAL | Latin | Morocco |
| Betnovate C | Latin | South Africa |
| Betnovate N | Latin | South Africa |
| Celestone | Latin | South Africa |
| Repivate | Latin | South Africa |
| SKINOSONE | Latin | Morocco |
| Betadexamine | Latin | South Africa |
Names are taken from national medicine registers and published price lists. A product registered abroad is not authorized for sale in Canada unless it holds its own DIN; import is possible only through the routes Health Canada permits.
Can this still be bought in Canada?
No. This Drug Identification Number is cancelled post market in Health Canada's Drug Product Database, so the product is no longer authorized for sale in Canada and Nexara does not supply it. This page is kept as a regulatory record.
If you are looking for a current equivalent, the alternatives above list every product sharing this therapeutic class, with the marketed ones first. Ask us to source an alternative
Ordering questions
Who can buy this from Nexara?
Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address. Patients and unlicensed buyers are routed to a partner pharmacy.
Is there a minimum order?
Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.
What is the lead time?
Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.
Why is there no price on this page?
Nexara quotes a delivered Canadian price per order, against a verified licence. Foreign list prices are published on incompatible bases and are not a guide to what any buyer can obtain here, so this page shows which markets list the molecule and on what basis, and nothing more.
Can Nexara supply this for a clinical trial?
Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.