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Evaluating Medicaid Coverage for Over-the-Counter Treatments for Diaper Dermatitis
Kathleen Jedruszczuk1, Sneha A Rangu2, Helen T Shin3
1Department of Dermatology, Hackensack Meridian Health, Palisades Medical Center, North Bergen, New Jersey, USA.
Pediatric Dermatology
|May 12, 2026
Summary
Medicaid coverage for over-the-counter (OTC) diaper dermatitis treatments varies significantly by state. This creates access gaps for low-income families needing essential pediatric skin care products.
Area of Science:
- Pediatrics
- Dermatology
- Health Policy
Background:
- Diaper dermatitis is a prevalent infant skin condition.
- Management often involves over-the-counter (OTC) products.
- Access to these treatments can be a concern for vulnerable populations.
Purpose of the Study:
- To assess Medicaid coverage for common OTC diaper dermatitis treatments.
- To identify state-level variations in prescription drug lists.
- To understand potential barriers to accessing pediatric dermatologic care.
Main Methods:
- Cross-sectional review of Medicaid Preferred Drug Lists.
- Analysis of coverage for 14 frequently used OTC diaper dermatitis therapies.
- Data collected from 49 states and the District of Columbia.
Main Results:
- Significant variability in Medicaid coverage across states.
- Therapeutic agents (antifungals, corticosteroids, antibiotics) were more commonly covered.
- Preventive barrier products (petrolatum, zinc oxide) showed lower coverage rates.
Conclusions:
- State-level disparities in Medicaid coverage for diaper dermatitis treatments exist.
- Potential access gaps for low-income families managing infant skin conditions.
- Policy review needed to ensure equitable access to essential pediatric dermatologic treatments.
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