Tolsura (itraconazole capsules – Mayne Pharma) — Cigna
Histoplasmosis – Including Chronic Cavitary Pulmonary Disease and Disseminated, Non-Meningeal – Treatment
Preferred products
- itraconazole capsules
- itraconazole oral solution
Initial criteria
- Patient has tried one of itraconazole capsules or oral solution; OR
- Patient is currently receiving Tolsura for this condition
Approval duration
3 months