halobetasol ointment — CareFirst (Caremark)
relief of the inflammatory and pruritic manifestations of corticosteroid‑responsive dermatoses
Preferred products
- alclometasone dipropionate
- amcinonide
- betamethasone dipropionate
- betamethasone valerate
- clobetasol propionate
- clocortolone pivalate
- desonide
- desoximetasone
- diflorasone diacetate
- fluocinolone acetonide
- fluocinonide
- flurandrenolide
- fluticasone propionate
- halcinonide
- hydrocortisone
- hydrocortisone butyrate
- hydrocortisone probutate
- hydrocortisone valerate
- mometasone furoate
- triamcinolone acetonide
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