ketoconazole shampoo — CareFirst (Caremark)

Initial criteria

• Authorization may be granted when the requested drug is being prescribed for the treatment of Seborrheic Dermatitis when ALL of the following criteria are met:
• The requested drug is NOT being used in a footbath.
• The requested drug is ANY of the following: ciclopirox gel, shampoo (Loprox shampoo), ketoconazole cream, foam, shampoo.

Approval duration

3 months