Protopic — Cigna
atopic dermatitis
Preferred products
- prescription topical corticosteroids (brand or generic)
Initial criteria
- If the patient has tried a Step 1 Product (prescription topical corticosteroids), approve a Step 2 Product.
- OR If the patient has a dermatologic condition on or around the face, eyes/eyelids, axilla, or genitalia, approve a Step 2 Product.
- OR If the patient is age < 2 years, approve Eucrisa.
Approval duration
1 year