Here are the latest before/after photographs of the same rock work. You can see more detail in the rock than ever before. There was no manual cleaning of the rock whatsoever but there has always been a good amount of flow in the tank. Just can't say enough about how easy, effective and affordable this fluconazole treatment worked out.
Also want to mention again that PO4 and nitrates were both on the high side prior to the treatment and that is probably what caused the issue in the first place. Both PO4 and NO3 are in check now thanks to the addition of a cheato reactor right around the time this treatment started. I feel that the lower nutrients should help to keep the tank in check going forward.