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October 2018

We no longer cover Clindagel®

Our goal at Blue Cross Blue Shield of Michigan and Blue Care Network is to provide safe, high-quality prescription drug therapies while also controlling costs. To accomplish this, we’re making some changes to the drugs we cover.

Because there are safe, effective and less-expensive choices, we stopped covering Clindagel beginning Sept. 1, 2018. Clindagel is a topical product used for the treatment of acne.

Your patients currently using this drug can continue to fill their prescriptions through Nov. 14, 2018. If a patient fills his or her prescription on or after Nov. 15, he or she will be responsible for the full cost.

Here’s a look at the cost and available formulations of Clindagel as compared to available formulations of the generic alternative, which has similar effectiveness, quality and safety at a fraction of the cost.

Drug not covered as of Sept. 1, 2018

Generic name

Available formulations

Average cost per package

Clindagel

Clindamycin

1% gel

$2,133

 

Covered generic alternative

Generic name

Available formulations

Average cost per package

Cleocin-T

Clindamycin

1% gel

$115

1% lotion

$83

1% solution

$38

1% swabs

$22

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.