HealthNet - All plan years
Onexton (clindamycin-benzoyl peroxide)
Drugs for the Skin : Drugs for the Skin
  • Derm: Acne Vulgaris:
    Age Requirement: >= 12
    Duration: 1 plan year
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 plan year
    Limited to non-cosmetic use: No
    Supporting Documentation Requirements: Chart Notes

  • Prior Authorization: Derm: Acne Vulgaris:
    Documented Diagnosis: Yes
    Age Requirement: >= 12
    Duration: 1 plan year
    Reauthorization Required: Yes

  • Step Therapy: Derm: Acne Vulgaris:
    ST Single Generic