Brexafemme — Cigna
treatment of vulvovaginal candidiasis
Preferred products
- generic fluconazole 150 mg tablets
- miconazole vaginal suppository (including over-the-counter kits)
- generic terconazole vaginal cream
- generic terconazole vaginal suppository
Initial criteria
- Patient has tried one Step 1 Product (generic fluconazole 150 mg tablets OR miconazole vaginal suppository [including over-the-counter kits that include miconazole vaginal suppository] OR generic terconazole vaginal cream OR generic terconazole vaginal suppository)
Approval duration
1 year