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Vusion (miconazole/zinc oxide/white petrolatum)CareFirst (Caremark)

Treatment of tinea pedis, tinea cruris, tinea corporis, tinea versicolor, candidiasis, seborrheic dermatitis, and diaper dermatitis as described for the specific topical antifungal agents.

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