UnitedHealthcare
Plixda (adapalene)
Drugs for the Skin : Drugs for the Skin
  • Step Therapy: Derm: Acne Vulgaris:
    ST Single Generic

  • Derm: Acne Vulgaris:
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: Unspecified
    Limited to non-cosmetic use: No

  • Prior Authorization: Derm: Acne Vulgaris:
    Documented Diagnosis: Yes
    Reauthorization Required: Yes

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