FormWeb • clotrimazole topical

Franciscan Missionaries of Our Lady Health System

Questions or Suggestions Drug Information Questions

Webpage Links

Add Formweb to your mobile device

Android iOS

*COVID-19 Pharmacy Resources

Franciscan Missionaries of Our Lady Health System

Questions or Suggestions Drug Information Questions

Search results for:

clotrimazole topical

clotrimazole topical

Brand names: Clotrimazole, Topical, Clotrimazole, Vaginal

Form	Strength	Formulary Status
CREAM WITH APPLICATOR, VAGINAL	1%	Clotrimazole Vaginal Cream- non-formulary
CREAM, TOPICAL	1%	Restricted
SOLUTION, TOPICAL	1%

VIEW MORE Azoles
CLASS

Comments:

*Clotrimazole 1% cream restricted to pediatric patients

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

Vaginal Antifungals
Medication Ordered	Brand Name	Dosage form	Frequency	Formulary Medication	Dosage Form	Frequency
Miconazole	Monistat	Cream, Suppository	FORMULARY AGENT
Butoconazole 2%	Gynazole	Vaginal Cream	HS x 1 night	Miconazole 2%	Vaginal Cream	HS x 7 nights
Clotrimazole 1%	Gyne-Lotrimin	Vaginal Cream	HS x 7 nights
Clotrimazole 2%	Gyne-Lotrimin	Vaginal Cream	HS x 3 nights
Miconazole 4%	Monistat	Vaginal Cream	HS x 3 nights
Terconazole 0.4%	Terazol	Vaginal Cream	HS x 7 nights
Terconazole 0.8%	Terazol	Vaginal Cream	HS x 3 nights
Tioconazole 6.5%	Vagistat	Vaginal Ointment	HS x 1 night
Miconazole 200 mg	Monistat	Vaginal Suppository	HS x 3 nights	Miconazole 100 mg	Vaginal Suppository	HS x 7 nights
Miconazole 1200 mg	Monistat	Vaginal Suppository	HS x 1 night
Terconazole 80 mg	Terazol	Vaginal Suppository	HS x 3 nights

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	Terbinafine Topical Cream (Lamisil)	1%	27023	Same as Ordered
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
Clotrimazole-Betamethasone	Cream, Lotion	Lotrisone	1%-0.05%	29424	Same as Ordered	Triamcinolone	0.025%	1327	Same as Ordered

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

Last updated: Nov. 27, 2024

Therapeutic Interchange: T.I.
Restricted:

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