clotrimazole cream — CareFirst (Caremark)

Initial criteria

• Authorization may be granted when the requested drug is being prescribed for the treatment of Tinea Pedis when ALL of the following criteria are met:
• The requested drug is NOT being used in a footbath.
• The requested drug is ANY of the following: ciclopirox cream, gel, suspension/lotion (Loprox cream, suspension/lotion), clotrimazole cream, solution, econazole cream, foam (Ecoza), ketoconazole cream, luliconazole cream (Luzu), naftifine cream, gel (Naftin), oxiconazole cream, lotion (Oxistat), sertaconazole cream (Ertaczo), sulconazole cream (Exelderm cream).

Approval duration

3 months