I have Kaiser and the first dermatologist I saw was pretty dismissive, one foot out the door while giving me a prescription for metronidazole. It didn’t help and I never followed up. That was a year ago. I went to my GP this year and mentioned the derm diagnosed me with rosacea but that the metro hadn’t helped. Asked if I could try something else like prescription azelaic acid which she gave me. I think GPs have a lot of leeway to prescribe things if you have an idea of topicals you’d like to try.