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diflorasone diacetate (all brands)CareFirst (Caremark)

relief of the inflammatory and pruritic manifestations of corticosteroid‑responsive dermatoses (e.g., atopic dermatitis, eczema, psoriasis, seborrheic dermatitis)

Initial criteria

  • Authorization may be granted when the requested drug is being prescribed for a corticosteroid‑responsive dermatosis or condition (e.g., atopic dermatitis, eczema, psoriasis, seborrheic dermatitis)
  • The requested drug is NOT being used in a footbath

Approval duration

6 months