Health Net
Seysara (sarecycline)
Drugs for the Skin : Drugs for the Skin
  • Derm: Acne Vulgaris:
    Age Requirement: >= 9
    Duration: 12 week(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 week(s)
    Limited to non-cosmetic use: No

  • Step Therapy: Derm: Acne Vulgaris:
    ST Multiple Generics

  • Prior Authorization: Derm: Acne Vulgaris:
    Documented Diagnosis: Yes
    Age Requirement: >= 9
    Duration: 12 week(s)
    Reauthorization Required: Yes

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