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What insurance company covers the cost of Azelex (Azelaic Acid)?

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It doesn't work that way. Any insurance company will have multiple plans. I haven't seen any that cover cosmetic stuff - which an acne cream usually is.

Likely you'll be out of pocket for this.
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Try COBRA or Family Health Plus
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Eat yogurt and put sulfur powder on the pillow inside and wash in hot water only.
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