Antifungals, Topical
PDL Reference Documents
PDL Status Values
Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the
Non-Preferred Drugs in Select PDL Classes prior authorization criteria.
New drugs will be listed as N until reviewed by the P&T Committee and are subject to the
New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.
To request a Prior Authorization, please use this form.
| NDC | Brand Name | Generic Name | Form | Strength | PDL Status |
Rebate | Current Drug Use Criteria |
|---|---|---|---|---|---|---|---|
| 45802028866 | ANTIFUNGAL NAIL | acetic ac/resorcino/salicyl ac | TINCTURE | N | Y | PA Document | |
| 70677126901 | ATHLETE'S FOOT | butenafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 51672210002 | BUTENAFINE HCL | butenafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 51672210008 | BUTENAFINE HCL | butenafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 00574206101 | CICLOPIROX | ciclopirox | GEL (GRAM) | 0.77 % | N | Y | PA Document |
| 00574206130 | CICLOPIROX | ciclopirox | GEL (GRAM) | 0.77 % | N | Y | PA Document |
| 00574206145 | CICLOPIROX | ciclopirox | GEL (GRAM) | 0.77 % | N | Y | PA Document |
| 68462045535 | CICLOPIROX | ciclopirox | GEL (GRAM) | 0.77 % | N | Y | PA Document |
| 68462045547 | CICLOPIROX | ciclopirox | GEL (GRAM) | 0.77 % | N | Y | PA Document |
| 68462045594 | CICLOPIROX | ciclopirox | GEL (GRAM) | 0.77 % | N | Y | PA Document |
| 00591215990 | CICLOPIROX | ciclopirox | SHAMPOO | 1 % | N | Y | PA Document |
| 45802040109 | CICLOPIROX | ciclopirox | SHAMPOO | 1 % | N | Y | PA Document |
| 51672135108 | CICLOPIROX | ciclopirox | SHAMPOO | 1 % | N | Y | PA Document |
| 43538050006 | CICLODAN | ciclopirox | SOLUTION | 8 % | N | Y | PA Document |
| 21922005351 | CICLOPIROX | ciclopirox | SOLUTION | 8 % | N | Y | PA Document |
| 42192071506 | CICLOPIROX | ciclopirox | SOLUTION | 8 % | N | Y | PA Document |
| 45802014167 | CICLOPIROX | ciclopirox | SOLUTION | 8 % | N | Y | PA Document |
| 51672530200 | CICLOPIROX | ciclopirox | SOLUTION | 8 % | N | Y | PA Document |
| 62135081445 | CICLOPIROX | ciclopirox | SOLUTION | 8 % | N | Y | PA Document |
| 43538052090 | CICLODAN | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 45802013811 | CICLOPIROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 45802013818 | CICLOPIROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 45802013835 | CICLOPIROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 51672131801 | CICLOPIROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 51672131802 | CICLOPIROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 51672131808 | CICLOPIROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 68462029717 | CICLOPIROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 68462029735 | CICLOPIROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 68462029792 | CICLOPIROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 43538054090 | LOPROX | ciclopirox olamine | CREAM (G) | 0.77 % | N | Y | PA Document |
| 45802040046 | CICLOPIROX | ciclopirox olamine | SUSPENSION | 0.77 % | N | Y | PA Document |
| 45802040049 | CICLOPIROX | ciclopirox olamine | SUSPENSION | 0.77 % | N | Y | PA Document |
| 43538055060 | LOPROX | ciclopirox olamine | SUSPENSION | 0.77 % | N | Y | PA Document |
| 43538052190 | CICLODAN | ciclopirox/skin cleanser no.28 | COMBO. PKG | 0.77 % | N | Y | PA Document |
| 43538054190 | LOPROX | ciclopirox/skin cleanser no.40 | COMBO. PKG | 0.77 % | N | Y | PA Document |
| 43538055160 | LOPROX | ciclopirox/skin cleanser no.40 | KIT SS-CLN | 0.77 % | N | Y | PA Document |
| 43538050106 | CICLODAN | ciclopirox/urea/camph/men/euc | SOLUTION | 8 % | N | Y | PA Document |
| 42192071401 | CICLOPIROX | ciclopirox/urea/camph/men/euc | SOLUTION | 8 % | N | Y | PA Document |
| 00536127211 | ANTIFUNGAL | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 00536127222 | ANTIFUNGAL | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 68001047545 | ANTIFUNGAL | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 68001047547 | ANTIFUNGAL | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 11527007140 | ATHLETE'S FOOT | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 24385020501 | ATHLETE'S FOOT | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 24385020503 | ATHLETE'S FOOT | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 70000054202 | ATHLETE'S FOOT | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 70677100201 | ATHLETE'S FOOT | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 00536126511 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 00536126526 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 00536126595 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 45802043401 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 45802043411 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 45861009907 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 45861009908 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 45861009909 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 51672127501 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 51672127502 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 51672127506 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 51672127507 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 51672200201 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 51672200202 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 68462018117 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 68462018135 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 68462018147 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 70512010030 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 83035106203 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 83324004101 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 85633000401 | CLOTRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 00884249545 | FUNGOID | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 00085096315 | LOTRIMIN AF | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 00085096317 | LOTRIMIN AF | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 59088047607 | MICOTRIN AC | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 59088044107 | MYCOZYL AC | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 73352057001 | TRIMAZOLE | clotrimazole | CREAM (G) | 1 % | N | Y | PA Document |
| 29978091860 | ALEVAZOL | clotrimazole | OINT. (G) | 1 % | N | Y | PA Document |
| 51672215801 | ATHLETE'S FOOT | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 00536144370 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 45802024685 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 50228050208 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 50228050230 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 50228050261 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 50268004430 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | Y | ||
| 51672126003 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 51672203701 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 52817080030 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 70010022954 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 70954003620 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 83474000334 | CLOTRIMAZOLE | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 00884319701 | FUNGOID | clotrimazole | SOLUTION | 1 % | N | Y | PA Document |
| 00168025815 | CLOTRIMAZOLE-BETAMETHASONE | clotrimazole/betamethasone dip | CREAM (G) | 1 %-0.05 % | N | Y | PA Document |
| 00168025846 | CLOTRIMAZOLE-BETAMETHASONE | clotrimazole/betamethasone dip | CREAM (G) | 1 %-0.05 % | N | Y | PA Document |
| 00472037915 | CLOTRIMAZOLE-BETAMETHASONE | clotrimazole/betamethasone dip | CREAM (G) | 1 %-0.05 % | N | Y | PA Document |
| 00472037945 | CLOTRIMAZOLE-BETAMETHASONE | clotrimazole/betamethasone dip | CREAM (G) | 1 %-0.05 % | N | Y | PA Document |
| 16714049601 | CLOTRIMAZOLE-BETAMETHASONE | clotrimazole/betamethasone dip | CREAM (G) | 1 %-0.05 % | N | Y | PA Document |
| 16714049602 | CLOTRIMAZOLE-BETAMETHASONE | clotrimazole/betamethasone dip | CREAM (G) | 1 %-0.05 % | N | Y | PA Document |
| 51672404801 | CLOTRIMAZOLE-BETAMETHASONE | clotrimazole/betamethasone dip | CREAM (G) | 1 %-0.05 % | N | Y | PA Document |
| 51672404806 | CLOTRIMAZOLE-BETAMETHASONE | clotrimazole/betamethasone dip | CREAM (G) | 1 %-0.05 % | N | Y | PA Document |
| 51672130803 | CLOTRIMAZOLE-BETAMETHASONE | clotrimazole/betamethasone dip | LOTION | 1 %-0.05 % | N | Y | PA Document |
| 45802046611 | ECONAZOLE NITRATE | econazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 45802046635 | ECONAZOLE NITRATE | econazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 45802046653 | ECONAZOLE NITRATE | econazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 51672130301 | ECONAZOLE NITRATE | econazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 51672130302 | ECONAZOLE NITRATE | econazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 51672130308 | ECONAZOLE NITRATE | econazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 00187540004 | JUBLIA | efinaconazole | SOL W/APPL | 10 % | N | Y | PA Document |
| 00187540008 | JUBLIA | efinaconazole | SOL W/APPL | 10 % | N | Y | PA Document |
| 66689071006 | TRIPLE DYE | gentian violet/brgreen/proflav | MED. SWAB | 2.29 mg-2.29 mg-1.14 mg/mL | Y | ||
| 00116059301 | TRIPLE DYE | gentian violet/brilliant green | LIQUID | Y | |||
| 00093321915 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 00093321930 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 00093321992 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 00168009915 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 00168009930 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 00168009960 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 16714095501 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 16714095502 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 16714095503 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 21922002504 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 21922002505 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 21922002507 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 51672129801 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 51672129802 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 51672129803 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 71085000860 | KETOCONAZOLE | ketoconazole | CREAM (G) | 2 % | N | Y | PA Document |
| 45802053232 | KETOCONAZOLE | ketoconazole | FOAM | 2 % | N | Y | PA Document |
| 45802053233 | KETOCONAZOLE | ketoconazole | FOAM | 2 % | N | Y | PA Document |
| 70700016019 | KETOCONAZOLE | ketoconazole | FOAM | 2 % | N | Y | PA Document |
| 70700016020 | KETOCONAZOLE | ketoconazole | FOAM | 2 % | N | Y | PA Document |
| 43538053010 | KETODAN | ketoconazole | FOAM | 2 % | N | Y | PA Document |
| 00713059204 | KETOCONAZOLE | ketoconazole | SHAMPOO | 2 % | N | Y | PA Document |
| 45802046564 | KETOCONAZOLE | ketoconazole | SHAMPOO | 2 % | N | Y | PA Document |
| 63646001004 | KETOCONAZOLE | ketoconazole | SHAMPOO | 2 % | N | Y | PA Document |
| 70954066210 | KETOCONAZOLE | ketoconazole | SHAMPOO | 2 % | N | Y | PA Document |
| 72578015612 | KETOCONAZOLE | ketoconazole | SHAMPOO | 2 % | N | Y | PA Document |
| 43538053110 | KETODAN | ketoconazole/skin cleanser 28 | COMBO. PKG | 2 % | N | Y | PA Document |
| 68682085060 | LULICONAZOLE | luliconazole | CREAM (G) | 1 % | N | Y | PA Document |
| 99207085060 | LUZU | luliconazole | CREAM (G) | 1 % | N | Y | PA Document |
| 70000032101 | ATHLETE'S FOOT SPRAY | miconazole nitrate | AERO POWD | 2 % | N | Y | PA Document |
| 50090223100 | ANTIFUNGAL CREAM | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 51824007801 | ANTIFUNGAL CREAM | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 53329007964 | ANTIFUNGAL CREAM | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 84389010292 | ANTIFUNGAL CREAM | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 70677100001 | ANTIFUNGAL CREAM | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 69740032900 | ANTIFUNGAL EXTRA THICK | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 11701004514 | BAZA ANTIFUNGAL | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 11701004522 | BAZA ANTIFUNGAL | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 11701004523 | BAZA ANTIFUNGAL | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 61924023404 | DERMAFUNGAL | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 00316025501 | DESENEX | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 53329008057 | INZO ANTIFUNGAL | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 53329008058 | INZO ANTIFUNGAL | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 80196074817 | INZO ANTIFUNGAL | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 80196074818 | INZO ANTIFUNGAL | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 65197010305 | MICATIN | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 00179801730 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 10939057433 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 50090107100 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 50090560700 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 50090736400 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 63187088515 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 66267096030 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 69396001405 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 69396001420 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 70403092430 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 71399007101 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 71399007103 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 71399007104 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 79503010630 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | N | |
| 00536113428 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 00536137575 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 45802026101 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 45802026103 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 45861007803 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 49348068972 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 51672200101 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 51672200102 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 61269073514 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 61269073542 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 61269073556 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 68001048145 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 68001048147 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 68001048148 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 70000034001 | MICONAZOLE NITRATE | miconazole nitrate | CREAM (G) | 2 % | Y | Y | |
| 68599020604 | THERA ANTIFUNGAL | miconazole nitrate | CREAM(ML) | 2 % | N | Y | PA Document |
| 00003401893 | ALOE VESTA | miconazole nitrate | OINT.(ML) | 2 % | N | Y | PA Document |
| 70000032301 | ANTIFUNGAL POWDER | miconazole nitrate | POWDER | 2 % | N | Y | PA Document |
| 70000067901 | ANTIFUNGAL POWDER | miconazole nitrate | POWDER | 2 % | N | Y | PA Document |
| 69367039985 | MICONAZOLE NITRATE | miconazole nitrate | POWDER | 2 % | N | Y | PA Document |
| 46122044427 | MICONAZORB AF | miconazole nitrate | POWDER | 2 % | N | Y | PA Document |
| 46122078929 | MICONAZORB AF | miconazole nitrate | POWDER | 2 % | N | Y | PA Document |
| 59088047807 | MICOTRIN AP | miconazole nitrate | POWDER | 2 % | N | Y | PA Document |
| 59088044207 | MYCOZYL AP | miconazole nitrate | POWDER | 2 % | N | Y | PA Document |
| 68599020703 | THERA ANTIFUNGAL | miconazole nitrate | POWDER | 2 % | N | Y | PA Document |
| 50268050329 | MICONAZOLE NITRATE | miconazole nitrate | SOL W/APPL | 2 % | N | Y | PA Document |
| 00884029301 | FUNGOID TINCTURE | miconazole nitrate | TINCTURE | 2 % | N | Y | PA Document |
| 00378822250 | MICONAZOLE-ZINC OXIDE-PETROLTM | miconazole nitrate/zinc ox/pet | OINT. (G) | 0.25 %-15 %-81.35 % | N | Y | PA Document |
| 00378973050 | VUSION | miconazole nitrate/zinc ox/pet | OINT. (G) | 0.25 %-15 %-81.35 % | N | Y | PA Document |
| 51672136203 | NAFTIFINE HCL | naftifine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 51672136208 | NAFTIFINE HCL | naftifine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 51672136803 | NAFTIFINE HCL | naftifine HCl | CREAM (G) | 2 % | N | Y | PA Document |
| 51672136806 | NAFTIFINE HCL | naftifine HCl | CREAM (G) | 2 % | N | Y | PA Document |
| 70700016117 | NAFTIFINE HCL | naftifine HCl | CREAM (G) | 2 % | N | Y | PA Document |
| 70700016118 | NAFTIFINE HCL | naftifine HCl | CREAM (G) | 2 % | N | Y | PA Document |
| 54766077040 | NAFTIN | naftifine HCl | GEL (GRAM) | 1 % | N | Y | PA Document |
| 54766077060 | NAFTIN | naftifine HCl | GEL (GRAM) | 1 % | N | Y | PA Document |
| 54766077090 | NAFTIN | naftifine HCl | GEL (GRAM) | 1 % | N | Y | PA Document |
| 51672137603 | NAFTIFINE HCL | naftifine HCl | GEL (GRAM) | 2 % | N | Y | PA Document |
| 51672137606 | NAFTIFINE HCL | naftifine HCl | GEL (GRAM) | 2 % | N | Y | PA Document |
| 54766077245 | NAFTIN | naftifine HCl | GEL (GRAM) | 2 % | N | Y | PA Document |
| 54766077260 | NAFTIN | naftifine HCl | GEL (GRAM) | 2 % | N | Y | PA Document |
| 13668059501 | NYSTATIN | nystatin | CREAM (G) | 100,000 unit/gram | Y | Y | |
| 13668059502 | NYSTATIN | nystatin | CREAM (G) | 100,000 unit/gram | Y | Y | |
| 33342046915 | NYSTATIN | nystatin | CREAM (G) | 100,000 unit/gram | Y | Y | |
| 33342046930 | NYSTATIN | nystatin | CREAM (G) | 100,000 unit/gram | Y | Y | |
| 45802005911 | NYSTATIN | nystatin | CREAM (G) | 100,000 unit/gram | Y | Y | |
| 45802005935 | NYSTATIN | nystatin | CREAM (G) | 100,000 unit/gram | Y | Y | |
| 51672128901 | NYSTATIN | nystatin | CREAM (G) | 100,000 unit/gram | Y | Y | |
| 51672128902 | NYSTATIN | nystatin | CREAM (G) | 100,000 unit/gram | Y | Y | |
| 00472016615 | NYSTATIN | nystatin | OINT. (G) | 100,000 unit/gram | Y | Y | |
| 00472016630 | NYSTATIN | nystatin | OINT. (G) | 100,000 unit/gram | Y | Y | |
| 33342048115 | NYSTATIN | nystatin | OINT. (G) | 100,000 unit/gram | Y | Y | |
| 33342048130 | NYSTATIN | nystatin | OINT. (G) | 100,000 unit/gram | Y | Y | |
| 45802004811 | NYSTATIN | nystatin | OINT. (G) | 100,000 unit/gram | Y | Y | |
| 45802004835 | NYSTATIN | nystatin | OINT. (G) | 100,000 unit/gram | Y | Y | |
| 72578008901 | NYSTATIN | nystatin | OINT. (G) | 100,000 unit/gram | Y | Y | |
| 72578008904 | NYSTATIN | nystatin | OINT. (G) | 100,000 unit/gram | Y | Y | |
| 42806018615 | KLAYESTA | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 42806018630 | KLAYESTA | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 42806018660 | KLAYESTA | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 00832046515 | NYAMYC | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 00832046530 | NYAMYC | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 00832046560 | NYAMYC | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 42543005261 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 42543005262 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 42543005263 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 68308015215 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 68308015230 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 68308015260 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 68382037001 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 68382037002 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 68382037003 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 69315030615 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 69315030630 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 69315030660 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 72603049101 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 72603049102 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 72603049103 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 75907006030 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 75907006044 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 75907006060 | NYSTATIN | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 00574200802 | NYSTOP | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 00574200815 | NYSTOP | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 00574200830 | NYSTOP | nystatin | POWDER | 100,000 unit/gram | N | Y | PA Document |
| 00682422020 | MYCONEL | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 00281008160 | MYTREX | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802002605 | N.T.A. | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802002611 | N.T.A. | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802002635 | N.T.A. | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 33342048215 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 33342048230 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 33342048260 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802088014 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802088094 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802088096 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 51672126301 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 51672126302 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 51672126303 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 62332060615 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 62332060630 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 62332060660 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 68180054502 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 68180054503 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 71085000930 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | CREAM (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 00281008915 | MYTREX | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802002705 | N.T.A. | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 21922003104 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 21922003105 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 21922003107 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 33342048315 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 33342048330 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 33342048360 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802024414 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802024494 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 45802024496 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 51672127201 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 51672127202 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 51672127203 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 62332058515 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 62332058530 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 62332058560 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 64380083622 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 64380083623 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 64380083653 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 64980032515 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 64980032530 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 64980032560 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 72578008801 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 72578008802 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 72578008804 | NYSTATIN-TRIAMCINOLONE | nystatin/triamcinolone acet | OINT. (G) | 100,000 unit/gram-0.1 % | N | Y | PA Document |
| 00168035830 | OXICONAZOLE NITRATE | oxiconazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 00168035860 | OXICONAZOLE NITRATE | oxiconazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 00168035890 | OXICONAZOLE NITRATE | oxiconazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 51672135902 | OXICONAZOLE NITRATE | oxiconazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 51672135903 | OXICONAZOLE NITRATE | oxiconazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 51672135908 | OXICONAZOLE NITRATE | oxiconazole nitrate | CREAM (G) | 1 % | N | Y | PA Document |
| 62559028530 | OXISTAT | oxiconazole nitrate | LOTION | 1 % | N | Y | PA Document |
| 62559028560 | OXISTAT | oxiconazole nitrate | LOTION | 1 % | N | Y | PA Document |
| 73159000460 | ERTACZO | sertaconazole nitrate | CREAM (G) | 2 % | N | Y | PA Document |
| 21922002012 | TAVABOROLE | tavaborole | SOL W/APPL | 5 % | N | Y | PA Document |
| 62135066359 | TAVABOROLE | tavaborole | SOL W/APPL | 5 % | N | Y | PA Document |
| 62332046704 | TAVABOROLE | tavaborole | SOL W/APPL | 5 % | N | Y | PA Document |
| 62332046710 | TAVABOROLE | tavaborole | SOL W/APPL | 5 % | N | Y | PA Document |
| 69097068637 | TAVABOROLE | tavaborole | SOL W/APPL | 5 % | N | Y | PA Document |
| 69238165706 | TAVABOROLE | tavaborole | SOL W/APPL | 5 % | N | Y | PA Document |
| 72578010204 | TAVABOROLE | tavaborole | SOL W/APPL | 5 % | N | Y | PA Document |
| 70000033801 | ATHLETE'S FOOT | terbinafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 70677100301 | ATHLETE'S FOOT | terbinafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 37205094114 | ATHLETE'S FOOT AF | terbinafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 24385052403 | TERBINAFINE | terbinafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 24385052405 | TERBINAFINE | terbinafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 51672208001 | TERBINAFINE | terbinafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 51672208002 | TERBINAFINE | terbinafine HCl | CREAM (G) | 1 % | N | Y | PA Document |
| 70000032201 | ATHLETE'S FOOT | tolnaftate | AERO POWD | 1 % | N | Y | PA Document |
| 00904072558 | TOLNAFTATE | tolnaftate | AERO POWD | 1 % | N | Y | PA Document |
| 11527005140 | ANTIFUNGAL CREAM | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 37205019705 | ANTIFUNGAL CREAM | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 49348015529 | ANTIFUNGAL CREAM | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 70677100101 | ANTIFUNGAL CREAM | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 83324004901 | ANTIFUNGAL CREAM | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 00536131543 | TOLNAFTATE | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 24385003203 | TOLNAFTATE | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 51672202001 | TOLNAFTATE | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 51672202002 | TOLNAFTATE | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 70000008401 | TOLNAFTATE | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 71800005609 | TOLNAFTATE | tolnaftate | CREAM (G) | 1 % | N | Y | PA Document |
| 73352056110 | TRITOLNACIDE C | tolnaftate | CREAM(ML) | 1 % | N | Y | PA Document |
| 00536132926 | TOLNAFTATE | tolnaftate | POWDER | 1 % | N | Y | PA Document |
| 70000063701 | ANTIFUNGAL | tolnaftate | SOLUTION | 1 % | N | Y | PA Document |
| 83324030101 | ANTIFUNGAL | tolnaftate | SOLUTION | 1 % | N | Y | PA Document |
| 59088064003 | MICOMITIN | tolnaftate | SOLUTION | 1 % | N | Y | PA Document |
| 59088047703 | MICOTRIN AL | tolnaftate | SOLUTION | 1 % | N | Y | PA Document |
| 59088044303 | MYCOZYL AL | tolnaftate | SOLUTION | 1 % | N | Y | PA Document |
| 83592048030 | TOLNAFI-AL | tolnaftate | SOLUTION | 1 % | N | Y | PA Document |
| 73352056001 | TRITOLNACIDE S | tolnaftate | SOLUTION | 1 % | N | Y | PA Document |
| 83324023753 | ATHLETE'S FOOT | tolnaftate | SPRAY | 1 % | N | Y | PA Document |
| 45802010803 | ANTIFUNGAL CREAM | undecylenic ac/zinc undecylena | CREAM (G) | 20 % | N | Y | PA Document |
| 45802010805 | ANTIFUNGAL CREAM | undecylenic ac/zinc undecylena | CREAM (G) | 20 % | N | Y | PA Document |
| 45802010810 | ANTIFUNGAL CREAM | undecylenic ac/zinc undecylena | CREAM (G) | 20 % | N | Y | PA Document |
| 45802012003 | UNDEX-25 | undecylenic ac/zinc undecylena | OINT. (G) | 25 % | N | Y | PA Document |
| 73352055501 | TRIPENICOL C | undecylenic acid | CREAM(ML) | 13 % | N | Y | PA Document |
| 73352055001 | TRIPENICOL S | undecylenic acid | SOLUTION | 25 % | N | Y | PA Document |