100% ICH, but there is a slight chance they could have Velvet too. Slight chance! So if you see any further behavioral changes or the fish seem to be getting worse, please let us know.
Tangs in general become extremely agitated when they are being attacked by Velvet. However, they can tolerate it much longer than other fish and you will notice very erratic swimming around the tank and some head twitching. The fish will appear extremely uncomfortable almost like it’s running to hide from an invisible attacker, but where it hides it will quickly come out, because it’s so uncomfortable. They attack the fish in such large numbers it’s literally like you stepping in a giant ant bed- getting hundreds of ants on your foot- and being unable to shake them off. They really irritate the gills and this is why you will sometimes see fish swimming directly into the flow of a wave maker.
If it’s ICH only I would try to manage it unless your as anal as I am. I never let it in my system and if it gets in I immediately start to catch all the fish and go fallow. For most people this is not possible or simple too much work. Feed the fish vitamins and quality food and you will not need to worry too much.