Standard Health Pals Formulary
Skin Pals – Formula H™ – Antioxidant Sunscreen – 1 Ounce
Active Ingredients – Zinc Oxide 7% + Titanium Dioxide 7%
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.