Limited Coverage Drugs – tazarotene topical

Last updated on September 27, 2024

Limited coverage criteria – tazarotene topical

Generic name

tazarotene topical

Strength & form

0.045% topical lotion

Special Authority criteria

Approval period

For the topical treatment of acne vulgaris in patients 10 years of age and older

Indefinite

Practitioner exemptions

  • None

Special notes

  • None

Special Authority requests