Anthem Blue Cross (HMO, PPO, EPO)
Tazorac (tazarotene)
Drugs for the Skin : Drugs for the Skin
  • Prior Authorization: Derm: Acne Vulgaris:
    Duration: 12 Month(s)

    Topical Psoriasis:
    PA Applies
  • Quantity Limit: 100 grams per 30 day(s).
  • Derm: Acne Vulgaris:
    Duration: 12 Month(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Limited to non-cosmetic use: No

    Topical Psoriasis:
    Duration: 12 Month(s)
    Medical Test Required: No
    Reauthorization Required: No
    Documented Diagnosis: No

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

    Topical Psoriasis:
    Step Applies
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