UnitedHealthcare
Amzeeq (minocycline)
Drugs for the Skin : Drugs for the Skin
  • Quantity Limit: (30 grams per prescription
  • Prior Authorization: Derm: Acne Vulgaris:
    Documented Diagnosis: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

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

  • Derm: Acne Vulgaris:
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)
    Limited to non-cosmetic use: No

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