FillMap15983pa0030004

Does 15983pa0030004 cover sulfacetamide / sulfur?

15983pa0030004
15983-15983PA0030004-0 · ACA · ACA Marketplace
sulfacetamide / sulfur
sulfacetamide / sulfurunder 15983pa0030004
Covered — some forms require step therapy
1 of 4 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

Tier
Generic
Approval first
Not needed
Try another first
Required
Amount limit
None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Covered forms and strengths (4)

  • sulfacetamide sodium 100 MG/ML / sulfur 50 MG/ML Medicated Liquid Soap
  • sulfacetamide sodium 100 MG/ML / sulfur 50 MG/ML Topical Cream
  • sulfacetamide sodium 100 MG/ML / sulfur 50 MG/ML Topical Cream [Avar]
  • sulfacetamide sodium 90 MG/ML / sulfur 45 MG/ML Medicated Liquid SoapTry another first

← All coverage for sulfacetamide / sulfur