Rhofade®
Drug - Rhofade® (oxymetazoline 1% cream) [Mayne Pharma Commercial, LLC.]
July 2025
Therapeutic Area - Rosacea Agents, Topical
Initial approval criteria
- Patient is ≥ 18 years of age; AND
- Patient has a diagnosis of persistent facial erythema associated with a diagnosis of rosacea; AND
- Prescriber attests that if the patient has cardiovascular disease, orthostatic hypotension, and/or uncontrolled hypertension or
- hypotension they will be appropriately monitored and will be counseled to seek medical care if their condition worsens; AND
- Prescriber attests that patient with cerebral or coronary insufficiency, Raynaud's phenomenon, thromboangiitis obliterans, scleroderma, or Sjögren's syndrome will receive appropriate monitoring and advised to seek medical care if signs and symptoms of potentiation of vascular insufficiency develop; AND
- Prescriber attests that patient will receive counseling on the signs and symptoms of acute angle closure glaucoma and will be advised to seek immediate care if they develop; AND
- Prescriber has reviewed Rhofade drug interactions and will monitor patient status as appropriate
Renewal criteria
- Patient must continue to meet the above criteria; AND
- Patient has experienced improvement or resolution of facial erythema associated with rosacea; AND
- Patient has NOT experienced any treatment-restricting adverse effects.
Quantity limits
- 1 fill (one 30-gram tube) per 30 days
Questions
Provider Call Center (844) 575-7887