Do you cover Tea tree oil shampoo? What about Proactive for acne?

[Guest msfixit29]

I have two situations of clients turning in claims for the tea tree oil shampoo (to treat psoriasis on the scalp) and also for the Proactive system for acne treatment. My supervisor says on the shampoo that we should deny the claim and ask for proof of what they use normally and subtract that from the cost of the shampoo. Aren't we opening a can of worms here?

I have another person that has been using the Proactive system for a few years now and it has kept her acne at bay as long as she uses it faithfully. Would you accept it?

I am finding the OTC's are going to take up a lot of my time and am fearful of that as I have other duties to get done too. I wish someone would come up with a good list that we could follow. I did get the one from www.125plan.com, but it leaves a lot open for interpretation.

I appreciate any input on these. Thanks!

Jane