Sumadan XLT — Cigna
Topical treatment of seborrheic dermatitis
Preferred products
- BenzePrO 6% Foaming Cloths
- PR Benzoyl Peroxide 7% Wash
- Sulfacetamide Sodium/Sulfur 10%-5% Topical Cleanser
Initial criteria
- Patient has tried one Step 1 Product (BenzePrO 6% Foaming Cloths OR PR Benzoyl Peroxide 7% Wash OR Sulfacetamide Sodium/Sulfur 10%-5% Topical Cleanser).
Approval duration
1 year