Absorica LD — United Healthcare
acne
Preferred products
- Claravis
- Myorisan
- Zenatane
- Amnesteem
- isotretinoin 10mg/20mg/30mg/40mg
Initial criteria
- (1) Must try one topical retinoid or retinoid-like agent [e.g., Retin-A/Retin-A Micro (tretinoin)]
- AND (1) Must try one oral antibiotic [e.g., erythromycin, minocycline]
- AND (1) Must try one topical antibiotic with or without benzoyl peroxide [e.g., clindamycin, erythromycin, BenzaClin, Benzamycin]
- AND (2) Must try two of the following oral isotretinoin formulations (document duration of trial): Claravis, Myorisan, Zenatane, Amnesteem, isotretinoin 10mg, 20mg, 30mg, 40mg