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ketoconazole topical

ketoconazole topical
Form Strength ANAN ASMP LACH LALK LOHH LOLR LOWC SDSD SESE SFSF Formulary Status
CREAM, TOPICAL 2%             non formulary
SHAMPOO, TOPICAL 2%         shampoo is formulary

VIEW MORE Azoles
CLASS
84040808

Comments:

Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments

Topical Azoles (as of 1/2024)

Medication 

Ordered 

Dosage Form

Brand Name 

Strength 

ERX

Frequency 

Formulary Medication 

Equivalent 

Dose 

ERX

Frequency 

 

Ciclopirox

Cream

Loprox

1%

9598

As directed

Miconazole Topical Cream 

2% 

5039

Same as Ordered 

Oxiconazole

Cream, Lotion

Oxistat 

1% 

10804

10805

As directed

Clotrimazole

Cream, Lotion

Lotrimin

1%

1767

As directed

Econazole

Cream, Foam

Spectazol

1%

9915

164985

As directed

Nystatin

Cream, Ointment

Various

 

5749

5750

As directed

Tolnaftate

Cream

Various

1%

8020

As directed

Ketoconazole

Cream, Foam, Gel

Nizoral

2%

10368

87888

As directed

Ciclopirox

Shampoo

Nizoral

1% or 2%

35235

As directed

Ketoconazole Shampoo

1%

14132 

Same as Ordered

Butenafine

Cream

Lotrimin Ultra, Mentax

1%

18852

As directed

Terbinafine Topical Cream

(Lamisil)

1%

27023

Same as Ordered

Naftifine

Cream, Gel

Naftin

1% or 2%

10683

155950

163345

10684

As directed

Any antifungal powder

Powder

Various

 

8021

118624

39136

19296

8019

As directed

Miconazole Powder

(Zeasorb)

2%

10599

Same as Ordered

Clotrimazole-Betamethasone

Cream, Lotion

Lotrisone 

1%-0.05% 

29424

Same as Ordered

Miconazole Cream 

2% 

5039

Same as Ordered

Triamcinolone

0.025%

1327

Same as Ordered

*Note:  Applicable only to Age Greater than 2 years old


Last updated: Feb. 26, 2024
  • Therapeutic Interchange: T.I.


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Pharmacy Phone Numbers
Our Lady of the Lake Regional Medical Center
225-765-4434
Our Lady of the Lake Children’s Hospital
225-374-1380
Our Lady of the Lake Ascension Hospital
225-647-5057
Our Lady of the Lake Assumption Community Hospital
985-369-4290
Our Lady of Angels Hospital
985-730-6789
Our Lady of Lourdes Hospital
337-470-2866
Our Lady of Lourdes Women and Children’s
337-470-5070
Our Lady of Lourdes Heart Hospital
337-470-1080
St. Dominic Jackson Memorial Hospital
601-200-6000
St. Francis Medical Center
318-966-3461