Skip to content
The Policy VaultThe Policy Vault

Brexafemme (ibrexafungerp)United Healthcare

recurrent vulvovaginal candidiasis (RVVC)

Preferred products

  • fluconazole

Initial criteria

  • Diagnosis of recurrent vulvovaginal candidiasis (RVVC)
  • AND One of the following:
  • — Confirmed azole resistance demonstrated by culture and susceptibility testing
  • OR Both of the following:
  • — Other causes (including but not limited to bacterial vaginosis or trichomoniasis) have been ruled out
  • AND — Failure of a maintenance course of oral fluconazole defined as 100-mg, 150-mg, or 200-mg taken weekly for 6 months (for Connecticut, Kentucky, and Mississippi business, only a 30 day trial required)
  • AND Prescribed by or in consultation with one of the following:
  • — Infectious disease physician
  • — Obstetrician/Gynecologist

Approval duration

6 months