Horizon Blue Cross drops Rhofade coverage

Written by on December 3, 2017 in research with 0 Comments

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

Wendy:

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.

Sherry:

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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