Daviederm Wiki

* 01/19/22 OVACE/AVAR PRODUCTS Just to let all providers know that we have many samples of Ovace and Avar products. If you give those samples to the patient, please be advised very few insurances/PBMs cover these products and they are VERY EXPENSIVE (even with a GoodRx coupon)- no "special" pharmacy or savings cards that I am aware of. Patients are getting upset that we give them a sample to try and when they like it, find out they can't afford it. Some patients are finding coupons online (one was a Singlecare and one used GoodRx) but many of these coupons are not accepted at pharmacy.

* 01/19/22 ACZONE 7.5% CREAM Even the 7.5% strength is generic now. Some insurances covering generic but since generic still expensive ($500+) Best to send to Lakeside as they are the "in network" pharmacy with manufacturer. Cost with savings card at Lakeside is $15 if covered, and $60 if not. Will have to write rx as "DAW" so Lakeside will apply the discount card.

* 01/19/22 ALCORTIN-A GEL This medication is NO LONGER MANUFACTURED- NOT AVAILABLE EVEN FROM A "SPECIAL PHARMACY".

* 01/19/22 AVAR PRODUCTS There is currently no savings card/program for Avar products. There are online coupons, but price of product so high without insurance coverage, the coupon doesn't make that much of a difference in cost (for example: may take off $100 but price is $650 to begin with). No "special" pharmacy- Lakeside doesn't have listed on their price list- they do have Plexion products (cream, cleanser, pads) and non-covered price is $45.

* 01/19/22 BENZACLIN (CLINDAMYCIN- BPO 1-5%) GEL Benzaclin (or generic) is no longer covered by many insurances. Most commercial insurances will cover the generic Duac or patient can get generic Acanya gel from ASPN: price depends on insurance coverage but will not be more than $75.

Epiceram is NOT covered by most insurances. Please send script to: Specialty Medical Drugstore, 525 Alexandria Pike, Southgate, KY 41071. This is a "Mail" pharmacy.Patient should not pay more than $20-25 per fill.

* FLUOROURACIL 5% CREAM (updated 8/25/20)

Most insurances (even Medicare) will cover but will probably require a PA. Many Medicare insurances have moved it to Tier 3 or 4. May be more cost effective for patient to use a GoodRx coupon/card. Lakeside has for $45 (but Medicare patients may not be eligible). Best for Medicare patients to use GoodRx coupon if too expensvie through insurance or the combination medication fluorouracil/calcipotriene cream from Skin Medicinals.

* JUBLIA

Almost all insurances will not cover Jublia until patient has tried/failed: 1- one of the oral meds: Terbinafine or Sporonox and 2- Ciclopirox (Penlac) solution- full course. Non covered price at Lakeside is $130 for 8 ml bottle.

* NICADAN

Nicadan NOT covered by almost every major insurance now. The average price for local pharmacies in our area is $300. The savings card takes off $45 per price list at Lakeside. So, most patients are not purchasing this medication. No "special" price at Lakeside- just will lower pt's cost by $45.

* NYSTATIN- TAC OINTMENT

Many insurances will no longer cover what they consider compounded medications, especially Medicare. If not covered, check price on GoodRx.

* SODIUM SULFACETAMIDE SULFUR CLEANSER

Patients can still get SulfaCleanse through ASPN pharmacy for non covered price of $35. Or can get the generic sodium sulfacetamide sulfur 10-5% cleanser, 170 gm, at Lakeside for $40. SkinMedicinals also has a sodium sulfacetamide sulfur 9-3% foaming wash, 120 ml, for $40.

\* SOOLANTRA CREAM (updated 8/25/20)

Price for Soolantra if not covered by insurance is $75 with savings card. Best pharmacies to send rx to are Lakeside and Walgreens. Lakeside will NOT do PA unless requested by patient. Insurance will NOT cover Soolantra until patient has tried/failed metronidazole 0.75% gel/cream and/or azaleic acid 15% gel. Must state "DAW" so patient can use savings card (pharmacies will always process generic unless "DAW" stated). Some insurances will cover the generic ivermectin cream, but the majority of the PAs I try to do for ivermectin get denied as insurance prefers brand. Ivermectin is still expensive (retail cost around $500) so patients get best price using savings card (even non covered price of $75). Some pharmacies tell me if patient has high deductible/coinsurance issue, the card only pays down a certain amount, so price will be more than $75 but according to Lakeside's price list, no mention of deduct- patient will pay no more than $75.

* SORIATANE (ACITRETIN) 3/14/19

Cost of Soriatane has gone up considerably in last year. Even with GoodRx coupons averaging $200 per month (depends on strength and # of capsules). For patient assistance can try:

-rxassist.com: patient assistance program through GSK (GlaxoSmithKline) manufacturer of Soriatane.

-prescriptionhope.com: if patient qualifies, will pay no more than $50 per month.

Both of these programs require patient to complete paperwork and submit financial information.

. TACLONEX (updated 8/25/20)

Almost all insurances do not cover Taclonex. There is no longer a savings card as the generic version is available but generic still expensive and not covered either. Can do PA if patient has tried/failed everything else. Not on Lakeside price list. Very hard to get covered by Medicare. May can prescribe each medication separately and get better coverage(?) but again, depends on insurance and their policy.

* ZOVIRAX CREAM (updated 8/25/20)

3/14/19 Price of Zovirax cream over $1000- not covered by insurances. No generic in the cream form (hence the overpriced brand). Some insurances cover the acyclovir ointment, but now many are covering for genital herpes only.

* **Steroid Classification List -** https://daviederm.fandom.com/wiki/STEROID\_CLASSIFICATION\_LIST

* KLISYRI OINTMENT-Lakeside Pharmacy is the only "in network" pharmacy in our area.  If covered by insurance, cost at Lakeside is $25 and if not covered, $60.  At local pharmacy, patient must take card to pharmacy or download to phone and show pharmacist, and cost if covered is $25 and if not covered $100.