Vfend IV — CareFirst (Caremark)

Initial criteria

• Patient is an adult or pediatric patient age ≥ 2 years
• Diagnosis must be one of the indicated fungal infections
• Specimens for fungal culture and other relevant laboratory studies (including histopathology) should be obtained prior to therapy to isolate and identify causative organism(s)
• Therapy may be initiated empirically before results are known, but therapy must be adjusted once results become available based on susceptibility