Loprox — CareFirst (Caremark)
tinea (pityriasis) versicolor
Preferred products
- generic topical antifungal agents
Initial criteria
- The requested drug is NOT being used in a footbath.
- The patient experienced an inadequate treatment response to a generic topical antifungal agent OR the patient experienced an intolerance to a generic topical antifungal agent OR the patient has a contraindication that would prohibit a trial of a generic topical antifungal agent.
Approval duration
3 months