Medicare AdvantagePrior AuthMedium impact
Topical Imidazole Antifungals (Econazole, Oxistat®) (Revised)
Humana·Dermatology, Family Medicine, General Practice +1 more·Medicare Advantage
Effective date
Jan 1, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage now requires prior authorization for topical antifungal medications econazole and oxiconazole (Oxistat). Members must have failed or have contraindications to two first-line treatments (clotrimazole, ciclopirox, or ketoconazole) before these medications will be covered.
Action Required
By January 1, 2026: Update billing workflows to obtain prior authorization before prescribing econazole or oxiconazole (Oxistat) for Humana Medicare Advantage patients. Ensure providers document previous treatment failures or contraindications to clotrimazole, ciclopirox, or ketoconazole. Visit www.humana.com/PAL for specific preauthorization requirements to prevent claim denials.