Horizon Blue Cross drops Rhofade coverage

Written by on December 3, 2017 in research with 1 Comment

Horizon BCBSNJ LogoHorizon Blue Cross Blue Shield of New Jersey has announced that they will not providing prescription cover for Rhofade, citing that facial redness is a cosmetic issue. Many rosacea sufferers will beg to differ, knowing full well that rosacea us much more than just a red face.

Rosacea prescription prices are high, so no doubt insurance companies are looking to reduce their payouts, but suggesting that those who need Rhofade to control their rosacea shouldn’t be offered coverage is very disappointing.

RHOFADE: No Longer Covered

Effective January 1, 2018, RHOFADE will no longer be covered under your patients’ pharmacy benefit. The US Food and Drug Administration approved RHOFADE on January 19, 2017 to treat facial redness due to rosacea.

Such use is deemed to be cosmetic and is not medically necessary nor appropriate. Letters were sent to impacted Horizon BCBSNJ members on December 1, 2017 notifying them of this change.

RHOFADE is a registered trademark of Allergan, Inc.

Rhofade Insurance Coverage


I have Tricare Prime. It will not cover Rhofade or Soolantra. That said, I was able to get Soolantra next day FedEx for $75 (free shipping) from out of state pharmacy. Rhofade… it’s $570 at Walgreens. I really need something to minimize redness so that I don’t have to wear make up all the time. I’m allergic to Metrogel… I liked Miraso but after 8 hours my face would flush.


I too wnt to CVS with my coupon from the doctor, but I am on Medicare and UHS supplement, so it can not be filled. Cannot award the $500+ cost. Sherry

Rhofade without medical insurace

If you do not have medical insurance, Rhofade will be an expensive option. Please leave us a comment below if you have been quoted a full retail price for a tube of Rhofade. Your fellow rosacea sufferers will be greatful to discover how much Rosacea Prescriptions Really Cost. Also please do leave us a comment with your Rhofade review when you can.

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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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1 Reader Comment

  1. KimmW says:

    How can we FIGHT back to Insurance Companies to get Soolantra and Rhofade covered????? I feel like David and Goliath. Ten years ago I had coverage for laser therapies to help my horrible rosacea and then Insurance dropped that. The laser REALLY helped my Rosacea, but after being dropped for coverage the Rosacea got bad again. As we all know Rosacea is FAR from a cosmetic concern….the burning and stinging are awful….the ocular rosacea is just awful to live with. Rhofade has helped and Soolantra…..BUT neither is covered anymore. I stocked up on Rhofade last year when it was covered as I heard it was going to be dropped. My Derm says hold onto it and continue using even if the tube expires. He even said it is “liquid gold” even more so now that insurance is not covering. ROSACEA IS NOT A COSMETIC ISSUE!!! IT IS MEDICAL!!!

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