Kerydin (tavaborole topical solution) — CareFirst (Caremark)
Onychomycosis of the toenail(s) due to Trichophyton rubrum or Trichophyton mentagrophytes
Preferred products
- terbinafine
- itraconazole
Initial criteria
- Diagnosis confirmed with a fungal diagnostic test (e.g., potassium hydroxide [KOH] preparation, fungal culture, or nail biopsy)
- Patient meets ONE of the following: experienced an inadequate treatment response to an oral antifungal therapy (e.g., terbinafine, itraconazole); experienced an intolerance to an oral antifungal therapy (e.g., terbinafine, itraconazole); has a contraindication that would prohibit a trial of an oral antifungal therapy (e.g., terbinafine, itraconazole)
- Requested drug is NOT being used in a footbath
- If additional quantities are required, multiple toenails are being treated
Approval duration
12 months