ANTIFUNGALS: TOPICAL
Displaying 1 - 10 of 226 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| ANTIFUNGAL 1% TOPICAL CREAM clotrimazole |
00536127222 RUGBY |
No | No | Medicaid CSHCN KHC |
| ANTIFUNGAL 1% TOPICAL CREAM clotrimazole |
68001047545 BLUEPOINT LABOR |
No | No | Medicaid CSHCN |
| ANTIFUNGAL 1% TOPICAL CREAM clotrimazole |
68001047547 BLUEPOINT LABOR |
No | No | Medicaid CSHCN |
| ANTIFUNGAL 1% TOPICAL CREAM clotrimazole |
00536127211 RUGBY |
No | No | Medicaid CSHCN KHC |
| ANTIFUNGAL 2% POWDER miconazole nitrate |
70000032301 LEADER |
No | No | Medicaid CSHCN |
| ATHLETE'S FOOT 1% CREAM terbinafine HCl |
70000033801 LEADER |
No | No | Medicaid CSHCN |
| ATHLETE'S FOOT 1% CREAM clotrimazole |
70000054201 LEADER |
No | No | Medicaid CSHCN |
| ATHLETE'S FOOT 1% CREAM clotrimazole |
70000054202 LEADER |
No | No | Medicaid CSHCN |
| CICLOPIROX 0.77% CREAM ciclopirox olamine |
68462029792 GLENMARK PHARMA |
No | No | Medicaid CHIP CSHCN |
| CICLOPIROX 0.77% CREAM ciclopirox olamine |
51672131801 TARO PHARM USA |
No | No | Medicaid CHIP CSHCN |