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Jublia — CareFirst (Caremark)

onychomycosis of the toenail(s) due to Trichophyton rubrum or Trichophyton mentagrophytes

Initial criteria

  • The requested drug is being prescribed for onychomycosis of the toenail(s) due to Trichophyton rubrum or Trichophyton mentagrophytes
  • The patient’s diagnosis has been confirmed with a fungal diagnostic test (e.g., potassium hydroxide [KOH] preparation, fungal culture, or nail biopsy)

Approval duration

12 months