Ertaczo — CareFirst (Caremark)
Tinea (Pityriasis) Versicolor
Preferred products
- ciclopirox
- clotrimazole
- econazole
- ketoconazole
- butenafine
Initial criteria
- Requested drug is NOT being used in a footbath
- Requested drug is ANY of the following: butenafine cream (Mentax); ciclopirox cream or suspension/lotion (Loprox cream, suspension/lotion); clotrimazole cream or solution; econazole cream; ketoconazole cream or shampoo; oxiconazole cream (Oxistat cream); sulconazole cream or solution (Exelderm)
Approval duration
3 months