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 |  | With Health Insurance: $5-$50 Copay or 10%-50% Coinsurance |  | Without Health Insurance: $50-$900 |
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Perioral dermatitis is a rash that forms around the mouth, often causing a burning feeling. It typically occurs in women. The cause is not known, but the use of steroid creams for other conditions might play a part.
Typical costs: | - For patients covered by health insurance, out-of-pocket costs typically consist of doctor visit copays, prescription drug copays of $5-$50 or more, or coinsurance of 10%-50%. However, certain medications might not be covered in some cases. For example, an Aetna clinical policy bulletin states that the brand-name antibiotic Oracea is only covered for patients with a documented diagnosis of rosacea.
- For patients not covered by health insurance, treatment for perioral dermatitis typically costs about $50-$500 or more for topical treatments, depending on the drug and the amount used. For example, Drugstore.com charges about $35 for a tube of sodium sulfacetamide and sulfur antibiotic and skin-drying lotion. It charges about $45 for a bottle of clindamycin phosphate antibiotic lotion. It charges about $150-$300 for a tube, depending on size and strength, of the immunosuppressant ointment Protopic. Drugstore.com charges about $175 for a tube of metronidazole anti-protozoal and antibacterial cream.
- And treatment for perioral dermatitis with an oral antibiotic typically costs from less than $20 to about $50 -- but can cost almost $900 for the brand-name antibiotic Oracea. For example, Drugstore.com charges about $18 for a two-month course of the oral antibiotic tetracycline. It charges about $50 for a two-month course of the oral antibiotic minocycline. And it charges about $860 for a two-month course of Oracea, a brand-name, sustained release doxycycline antibiotic formulated for rosacea, but also sometimes used for perioral dermatitis.
Related articles: Seborrheic Dermatitis Treatment, Eczema Treatment, Health Insurance
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What should be included: | - Perioral dermatitis typically is diagnosed by visual examination. If the patient is using a topical steroid product for another condition, the doctor likely will recommend it be stopped.
- For very mild cases, the doctor often will prescribe a topical antibacterial lotion, cream or ointment, such as sodium sulfacetamide and sulfur[1] , clindamycin phosphate[2] , or metronidazole[3] , to be applied once or twice daily for two months or longer.
- For moderate to severe cases, the doctor might prescribe an oral antibiotic, usually tetracycline[4] , doxycycline[5] or minocycline[6] , typically for two months or longer.
- PubMed Health has an overview of perioral dermatitis[7] .
Additional costs: | - It is recommended to wear sunscreen for sensitive skin with SPF 30 or higher to help protect skin.
- It typically is recommended to use facial cleanser and moisturizer formulated for sensitive skin.
Discounts: | - The U.S. Department of Health and Human Services offers a locator[8] for clinics with sliding fee scales based on income.
- Some drug manufacturers offer patient assistance programs. Any patient without prescription drug coverage who is not eligible for Medicare typically qualifies for Together Rx Access[9] , a discount card that offers 25%-40% off many brand-name drugs.
Shopping for perioral dermatitis treatment: | - A dermatologist should diagnose and treat perioral dermatitis. The American Academy of Dermatology offers a dermatologist locator[10] .
- WebMD offers a guide[11] to care of sensitive skin.
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Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
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External Resources: | - www.medicinenet.com/sulfacetamide_with_sulfur-topical/article.htm
- www.webmd.com/drugs/drug-1465-Clindamycin+Phosphate+Top.aspx?drugid=1465&drugname=...
- www.medicinenet.com/metronidazole_cream/article.htm
- www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000576/
- www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000563/
- www.nlm.nih.gov/medlineplus/druginfo/meds/a682101.html
- www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002426/
- findahealthcenter.hrsa.gov/Search_HCC.aspx
- www.togetherrxaccess.com/p/prescription-savings/about-together-rx-access/enroll.aspx
- www.aad.org/find-a-derm
- www.webmd.com/beauty/sensitive-skin-20-questions
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