Solodyn Step Therapy

To Initiate a Coverage Review, Call 1-855-240-0543.

Effective 10/01/2010, minocycline extended-release tablets (Solodyn) and effective 12/13/2011, generic Solodyn will not be covered and members must pay in full unless the following are met:

• Age 12 years of age or older
• Inadequate treatment response or intolerance to trial of generic minocycline AND generic tetracycline or doxycycline or erythromycin
• Use for treatment of inflammatory lesions of non-nodular moderate to severe acne vulgaris

Coverage review process administered by CVS Caremark

Call 1-855-240-0543 to contact CVS Caremark to initiate a coverage review which can be completed by phone or by requesting a fax form.

Revision History