Mentax — CareFirst (Caremark)
treatment of interdigital tinea pedis caused by Trichophyton rubrum, Trichophyton mentagrophytes, and Epidermophyton floccosum
Preferred products
- generic topical antifungal agents
Initial criteria
- The requested drug is NOT being used in a footbath.
- The patient meets ONE of the following:
- • The patient experienced an inadequate treatment response to a generic topical antifungal agent.
- • The patient experienced an intolerance to a generic topical antifungal agent.
- • The patient has a contraindication that would prohibit a trial of a generic topical antifungal agent.
Approval duration
3 months