Isotretinoin 40 mg Capsule

Coverage Level – 100%

Copay – $0

Limitations – No more than 30 days’ supply

Restrictions – Health Pals Mail Order Pharmacy Network

Comments – This drug is generic for “Accutane”. This is a REMS (Risk Evaluation and Mitigation Strategies) medication that requires a monthly pregnancy test. Pregnancy is contraindicated while on this medication. The I-PLEDGE REMS will obtain information about your prescriptions, in addition to your prescriber’s officer and the dispensing pharmacy. Click the logo below to learn more about I-PLEDGE.