Standard Health Pals Formulary
Skin Pals – Formula B™ – Dual Toner + Astringent
Active Ingredients – Glycolic Acid 10% + Salicylic Acid 5% + Ascorbic Acid 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.