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Medicare AdvantagePrior AuthMedium impact

Amzeeq® (minocycline) Topical Foam (Revised)

Humana·Dermatology, Pediatrics·Medicare Advantage
Effective date
Jul 23, 2025
We identified it
Jul 21, 2026
Days to comply

Summary

Humana Medicare Advantage has updated its prior authorization policy for Amzeeq® (minocycline) topical foam, effective July 23, 2025. The policy requires prior authorization for treating non-nodular moderate to severe acne vulgaris and mandates documented failure, intolerance, or contraindication with both a topical retinoid AND an oral non-delayed release tetracycline before approval.

Action Required

Action needed
By July 23, 2025: Billing and clinical teams must implement prior authorization requirements for all Amzeeq (minocycline) topical foam claims submitted to Humana Medicare Advantage. Before processing or submitting claims, verify that patient records document: (1) treatment for non-nodular moderate to severe acne vulgaris, (2) prior treatment failure, intolerance, or contraindication with a topical retinoid (e.g., tretinoin non-micro or adapalene 0.1% gel), and (3) prior treatment failure, intolerance, or contraindication with a non-delayed release oral antibiotic (minocycline or doxycycline monohydrate 50mg or 100mg). Update prior authorization submission templates and provider education materials to reflect these new step-therapy requirements. Communicate with dermatology providers and prescribers that Amzeeq requires documented sequential therapy attempts before approval. Claims submitted without complete documentation of prior therapy attempts will be denied. Approvals are valid for the plan year duration with renewal available for plan year duration.