Dermatology practices write a high volume of topical prescriptions, and a large share of them stall after the patient leaves the office. The plan wants a prior authorization. The copay is higher than the patient expected. The pharmacy does not stock the product. Your staff takes the call, and the patient may never start treatment.

Pharmaconic’s Iconic Dermatology program is built to remove those steps. Here is what we offer your practice and your patients.

No prior authorization, and every patient is eligible

Pharmaconic accepts most insurance plans, but not every plan covers dermatology products. For those prescriptions, we offer affordable cash pricing with no prior authorization to file, no step-therapy form, and no formulary exception to chase, so patients receive the medication they need as soon as possible. Every patient is eligible, whether insured or not.

For your practice, that means:

• Fewer callbacks and faxes for your front desk and medical assistants.
• A price you can tell the patient before they leave the exam room.
• The medication you chose is the medication the patient receives.

Predictable pricing

Commercial dermatology medications in three flat tiers.

• Tier 1, $12: benzoyl peroxide wash, doxycycline, minocycline, spironolactone tablets, valacyclovir, mupirocin ointment, ketoconazole shampoo.
• Tier 2, $18: adapalene 0.1% gel, benzoyl peroxide gels, triamcinolone, mometasone, ketoconazole and econazole creams, ciclopirox, finasteride 1 mg, terbinafine, Drysol.
• Tier 3, $24: tretinoin 0.025% and 0.05% cream, clindamycin (gel, pledgets, solution, lotion), clindamycin-benzoyl peroxide gel, adapalene-benzoyl peroxide gel, azelaic acid 15% gel, metronidazole 0.75% cream, hydroquinone 4% cream, clobetasol, tacrolimus ointment, fluorouracil 5%.

Other cash or non-covered prescriptions, $75 or less. These include isotretinoin, tazarotene cream and foam, Amzeeq, Qbrexa, dapsone 7.5% gel, pimecrolimus cream, Tri-Luma, and oral minoxidil.

Compounded topicals. Most compounded preparations run $45 to $79 for 30 g and $69 to $119 for 60 g. Alopecia foams and solutions are $75. Contact us for the price of a specific formulation.

Compounded medications are not covered by insurance.

The compound menu

The American Academy of Dermatology’s 2024 acne guidelines recommend multimodal topical therapy that combines more than one mechanism of action. When you decide a patient needs a combination, strength, or vehicle that is not commercially available, our pharmacists compound it to your order. Current formulations include:

Acne

• Azelaic acid 15% / niacinamide 4% cream
• Azelaic acid 18%
• Clindamycin 1% / niacinamide 4% cream
• Clindamycin 1% / niacinamide 4% / benzoyl peroxide 3% cream
• Benzoyl peroxide 5% / clindamycin 1% / tretinoin 0.01% lotion
• Dapsone 5% / niacinamide 2% cream
• Dapsone 5% / azelaic acid 5% topical solution
• Spironolactone 5% / dapsone 2% / niacinamide 2% cream

Melasma and hyperpigmentation

• Hydroquinone 6% to 8%
• Hydroquinone 4% to 6% / tretinoin 0.05% / ascorbic acid 1% cream
• Hydroquinone 8% / kojic acid 4% / tretinoin 0.1% cream
• Hydroquinone 4% / fluocinolone 0.02% / tretinoin 0.05% gel

Rosacea

• Azelaic acid 15% / metronidazole 1% cream

Alopecia

• Minoxidil 7% / finasteride 0.1% foam
• Minoxidil 7% / tretinoin 0.01% or 0.1% foam
• Minoxidil 5% / biotin 0.1% foam
• Minoxidil 5% / spironolactone 3% foam
• Minoxidil 5% / clobetasol 0.05% foam
• Minoxidil 7% / caffeine 1% / tretinoin 0.025% solution
• Minoxidil 10% / finasteride 0.1% solution
• Minoxidil 5% / finasteride 0.25% / fluocinolone 0.01% / tretinoin 0.01% solution
• Minoxidil 5% / fluocinolone 0.1% solution

Procedures and other

• Numbing creams: benzocaine 20% / lidocaine 7% / tetracaine 3%; lidocaine 23% / tetracaine 7%
• Warts: fluorouracil 5% / salicylic acid 20% solution
• Aging skin: niacinamide 4% / tretinoin 0.05% cream
• Scar gel: ascorbic acid 2% / caffeine 1% / EGCG 1% / MSM 5%
• Undereye: caffeine 3% / vitamin K 1% cream; ascorbic acid 20% cream or serum
• Hyperhidrosis: bethanechol 1% stick

If you want a strength or combination that is not listed, call us. Our pharmacists will tell you whether we can prepare it.

Delivered to the patient within 24 hours

We deliver free of charge to the patient’s door within 24 hours of confirming the order. Our delivery area covers all five New York City boroughs (Queens, Brooklyn, Manhattan, the Bronx, and Staten Island) and Nassau and Suffolk counties.

The patient does not make a pharmacy trip, and your office does not get the call asking where the medication is. Our pharmacists are also available to patients for consultations on how to apply and store what you prescribed.

How to send a prescription

1. E-prescribe or fax the prescription to Pharmaconic.
2. A pharmacist verifies it and contacts your office with any formulation questions.
3. We call the patient to confirm the order and the price.
4. The medication is delivered to the patient, free, within 24 hours of confirmation.

Set up your practice

A short call is enough to walk your staff through the tiers, the compound menu, and how to send the first prescription. We can also drop off the Iconic Dermatology formulary for your prescribers.

Compounded medications are patient-specific preparations and are not FDA-approved finished drug products. They are prepared only on receipt of a valid prescription for an identified patient, based on the prescriber’s determination of clinical need. Patients may choose any pharmacy. Prices are current as of publication and subject to change.