Active Ingredients – Salicylic Acid 5% + Ascorbic Acid 5% + Citric Acid 2.5%
Coverage Level – 100%
Copay – $0
Limitations – No more than 30 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – In order to receive this medication at no cost, you must utilize a Skin Pals Clinic Healthcare Provider. Visit the Skin Pals website, using the link below, to get started.
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