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WinleviUnited Healthcare

acne vulgaris

Preferred products

  • tretinoin (generic Retin-A)
  • benzoyl peroxide/clindamycin (generic Duac)
  • benzoyl peroxide/erythromycin (generic Benzamycin)
  • dapsone (generic Aczone)

Initial criteria

  • Diagnosis of acne vulgaris
  • age ≥ 12 years
  • History of failure, contraindication, or intolerance to an adequate trial of a topical retinoid (e.g. tretinoin (generic Retin-A))
  • History of failure, contraindication, or intolerance to an adequate trial of a topical antibiotic in combination with benzoyl peroxide (e.g. benzoyl peroxide/clindamycin (generic Duac), benzoyl peroxide/erythromycin (generic Benzamycin))
  • History of failure, contraindication, or intolerance to an adequate trial of a topical dapsone (e.g. generic Aczone)

Reauthorization criteria

  • Documentation of positive clinical response to therapy
  • Patient has been assessed for signs of hypothalamus-pituitary-adrenal (HPA) axis suppression (e.g. fatigue, weight loss, abdominal pain, depression, muscle weakness)

Approval duration

6 months