Varies by plan

Does Blue Cross Blue Shield (affiliate) require prior authorization for Cresemba?

Prior authorization for Cresemba differs across Blue Cross Blue Shield (affiliate)'s Medicare Part D plans and product strengths — 2 of 2 Cresemba products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.

Some plans require authorization and others do not. The member's specific plan decides.

Prior authorization requirements differ across this payer's plans: 170 of 269 covering plans require it. Check the specific plan the member is enrolled in — the plan name and contract number are on their insurance card.

By product strength

RxNorm product	Plans covering	Require prior auth	Step therapy	Qty limit	Status
isavuconazonium sulfate 186 MG Oral Capsule [Cresemba]1608333	269 / 269	170	0	32	Varies by plan
isavuconazonium sulfate 74.5 MG Oral Capsule [Cresemba]2623472	269 / 269	170	0	32	Varies by plan

Product names come from RxNorm (U.S. National Library of Medicine).

Plan-by-plan detail — isavuconazonium sulfate 186 MG Oral Capsule [Cresemba]

Cresemba has 2 products in the corpus; this table is for isavuconazonium sulfate 186 MG Oral Capsule [Cresemba], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Anthem Dual Advantage (HMO D-SNP)	H5422-018	5	Yes	No	No
Anthem Extra Help (HMO-POS)	H5422-013	5	Yes	No	No
Anthem Full Dual Advantage (HMO D-SNP)	H5422-019	5	Yes	No	No
Anthem Full Dual Advantage Aligned (HMO D-SNP)	H4471-010	5	Yes	No	No
Anthem Full Dual Advantage Aligned (HMO D-SNP)	H4471-010	5	Yes	No	No
Anthem Full Dual Advantage Aligned (HMO D-SNP)	H4471-011	5	Yes	No	No
Anthem I CareMore Chronic Care (HMO-POS C-SNP)	H0544-004	5	Yes	No	No
Anthem I CareMore Chronic Care (HMO-POS C-SNP)	H0544-010	5	Yes	No	No
Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP)	H4161-014	5	Yes	No	No
Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP)	H4161-015	5	Yes	No	No
Anthem I CareMore Home Care (HMO I-SNP)	H0544-005	5	Yes	No	No
Anthem I CareMore Kidney Care (HMO-POS C-SNP)	H0544-015	5	Yes	No	No
Anthem I CareMore Kidney Care (HMO-POS C-SNP)	H0544-020	5	Yes	No	No
Anthem I CareMore Lung Care (HMO-POS C-SNP)	H0544-014	5	Yes	No	No
Anthem I CareMore Lung Care (HMO-POS C-SNP)	H0544-019	5	Yes	No	No
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP)	H4161-016	5	Yes	No	No
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP)	H4161-017	5	Yes	No	No
Anthem I CareMore Medicare Advantage (HMO-POS)	H4161-011	5	Yes	No	No
Anthem I CareMore Medicare Advantage (HMO-POS)	H4161-013	5	Yes	No	No
Anthem I CareMore Medicare Advantage 2 (HMO-POS)	H0544-002	5	Yes	No	No
Anthem I CareMore Premium Savings (HMO-POS)	H4161-012	5	Yes	No	No
Anthem Kidney Care (HMO-POS C-SNP)	H5422-015	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H0544-056	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H0544-061	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H0544-062	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H0544-063	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H0544-064	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H0544-065	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H0544-095	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H0544-096	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H0544-108	5	Yes	No	No
Anthem Medicare Advantage (HMO-POS)	H5422-011	5	Yes	No	No
Anthem Prime (HMO-POS)	H4161-002	5	Yes	No	No
Anthem Prime (HMO-POS)	H4161-003	5	Yes	No	No
Anthem Prime (HMO-POS)	H4161-004	5	Yes	No	No
Anthem Prime (HMO-POS)	H4161-005	5	Yes	No	No
Anthem Prime (HMO-POS)	H4161-006	5	Yes	No	No
Anthem Prime (HMO-POS)	H4161-007	5	Yes	No	No
Anthem Prime (HMO-POS)	H4161-009	5	Yes	No	No
Anthem Prime (HMO-POS)	H4161-010	5	Yes	No	No
Anthem Select (HMO-POS)	H0544-058	5	Yes	No	No
Anthem Select (HMO-POS)	H0544-066	5	Yes	No	No
Anthem Select (HMO-POS)	H0544-069	5	Yes	No	No
Anthem Select (HMO-POS)	H0544-091	5	Yes	No	No
Anthem Select (HMO-POS)	H0544-098	5	Yes	No	No
Blue Advantage Choice (PPO)	H0104-016	5	Yes	No	No
Blue Advantage Complete (PPO)	H0104-012	5	Yes	No	No
Blue Advantage Complete (PPO)	H0104-014	5	Yes	No	No
Blue Advantage Premier (PPO)	H0104-015	5	Yes	No	No
Blue Cross Medicare Advantage Choice (PPO)	H5959-009	5	Yes	No	No
Blue Cross Medicare Advantage Choice (PPO)	H5959-014	5	Yes	No	No
Blue Cross Medicare Advantage Choice (PPO)	H5959-014	5	Yes	No	No
Blue Cross Medicare Advantage Comfort (PPO)	H5959-015	5	Yes	No	No
Blue Cross Medicare Advantage Comfort (PPO)	H5959-016	5	Yes	No	No
Blue Cross Medicare Advantage Complete (PPO)	H5959-010	5	Yes	No	No
Blue Cross Medicare Advantage Complete (PPO)	H5959-010	5	Yes	No	No
Blue Cross Medicare Advantage Complete (PPO)	H5959-011	5	Yes	No	No
Blue Cross Medicare Advantage Core (PPO)	H5959-012	5	Yes	No	No
Blue Cross Medicare Advantage Core (PPO)	H5959-013	5	Yes	No	No
Blue Cross Medicare Advantage Core (PPO)	H5959-013	5	Yes	No	No
Blue Cross Medicare Advantage Secure (HMO)	H8547-001	5	Yes	No	No
Blue Medicare Advantage Classic PPO (PPO)	H5900-008	5	Yes	No	No
Blue Medicare Advantage Enhanced PPO (PPO)	H5900-004	5	Yes	No	No
Blue Medicare Advantage PPO (PPO)	H5900-001	5	Yes	No	No
Blue Medicare Choice (HMO)	H3449-026	5	Yes	No	No
Blue Medicare Enhanced (HMO-POS)	H3449-024	5	Yes	No	No
Blue Medicare Enhanced (HMO-POS)	H3449-024	5	Yes	No	No
Blue Medicare Enhanced (HMO-POS)	H3449-024	5	Yes	No	No
Blue Medicare Essential (HMO)	H3449-027	5	Yes	No	No
Blue Medicare Essential (HMO)	H3449-027	5	Yes	No	No
Blue Medicare Essential Plus (HMO-POS)	H3449-023	5	Yes	No	No
Blue Medicare Essential Plus (HMO-POS)	H3449-023	5	Yes	No	No
Blue Medicare Essential Plus (HMO-POS)	H3449-023	5	Yes	No	No
Blue Medicare Essential Plus (HMO-POS)	H3449-023	5	Yes	No	No
Blue Medicare PPO Enhanced (PPO)	H3404-003	5	Yes	No	No
Blue Medicare PPO Enhanced (PPO)	H3404-003	5	Yes	No	No
Blue Medicare Rx Enhanced (PDP)	S5540-004	5	Yes	No	No
Blue Medicare Rx Standard (PDP)	S5540-002	5	Yes	No	No
Blue MedicareRx Essentials (PDP)	S5726-020	5	Yes	No	No
Blue MedicareRx Plus (PDP)	S5726-014	5	Yes	No	No
Blue MedicareRx Value (PDP)	S5726-013	5	Yes	No	No
BlueCHiP for Medicare Access (HMO-POS)	H4152-022	5	Yes	No	No
BlueCHiP for Medicare Enhanced (HMO-POS)	H4152-013	5	Yes	No	No
BlueCHiP for Medicare Essential (HMO-POS)	H4152-023	5	Yes	No	No
BlueCHiP for Medicare Extra (HMO-POS)	H4152-018	5	Yes	No	No
BlueMedicare Complete Rx (PDP)	S5904-002	5	Yes	No	No
BlueMedicare Premier Rx (PDP)	S5904-001	5	Yes	No	No
BlueMedicare Select (PPO)	H5434-002	5	Yes	No	No
BlueMedicare Select (PPO)	H5434-045	5	Yes	No	No
BlueMedicare Value (PPO)	H5434-023	5	Yes	No	No
BlueMedicare Value (PPO)	H5434-024	5	Yes	No	No
BlueMedicare Value (PPO)	H5434-025	5	Yes	No	No
BlueMedicare Value (PPO)	H5434-026	5	Yes	No	No
BlueMedicare Value (PPO)	H5434-030	5	Yes	No	No
BlueMedicare Value (PPO)	H5434-031	5	Yes	No	No
BlueMedicare Value (PPO)	H5434-034	5	Yes	No	No
BlueMedicare Value (PPO)	H5434-035	5	Yes	No	No
BlueMedicare Value (PPO)	H5434-036	5	Yes	No	No
BlueRI for Duals (HMO D-SNP)	H4152-021	5	Yes	No	No
BlueRx Enhanced Plus (PDP)	S1030-001	5	Yes	No	No

Showing 100 of 269 covering plans.

Source

Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File

Effective: 2026-06-30
Retrieved: 2026-07-19
SHA-256: e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Cresemba at other payers

Or see Cresemba across every payer at once.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.