Winlevi (clascoterone 1% cream – Sun) — Cigna

Initial criteria

• Patient is age ≥ 12 years
• Patient has tried at least one prescription topical retinoid (e.g., adapalene [Differin, generic], Aklief [trifarotene 0.005% cream], tazarotene 0.1% cream [Tazorac, generic], tazarotene 0.1% gel [Tazorac, generic], tretinoin)
• Patient has tried at least three other prescription non-retinoid topical therapies (Topical retinoids do not count; examples include dapsone gel [Aczone, generic], Azelex [azelaic acid 20% cream], topical clindamycin, topical erythromycin, and topical minocycline [Amzeeq, minocycline 4% foam])

Approval duration

1 year