Limited coverage criteria – tretinoin

Last updated on March 24, 2025

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Generic name	tretinoin topical
Strength & form	0.1% topical gel

Special Authority criteria	Approval period
Diagnosis of acne OR Diagnosis of skin cancer	Indefinite

Special Authority criteria

Approval period

Diagnosis of acne

Diagnosis of skin cancer

Indefinite

Practitioner exemptions

None

Special notes

Tretinoin topical for cosmetic indications is not eligible for PharmaCare coverage

Special Authority request form(s)

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HLTH 5328 – General Special Authority request (PDF, 656KB)

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