Benefily
Prior authorization required

Does Health Care Service Corporation require prior authorization for Cresemba?

Health Care Service Corporation requires prior authorization for Cresemba on every Medicare Part D plan of theirs that covers it.

Every plan from this payer that covers the drug requires authorization before it is dispensed.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
isavuconazonium sulfate 186 MG Oral Capsule [Cresemba]160833331 / 313100Prior authorization required
isavuconazonium sulfate 74.5 MG Oral Capsule [Cresemba]262347231 / 313100Prior authorization required

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.

PlanContractTierPrior authStep therapyQty limit
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)H8634-0091YesNoNo
Blue Cross Medicare Advantage Balance (PPO)H8634-0315YesNoNo
Blue Cross Medicare Advantage Basic (HMO)H3822-0015YesNoNo
Blue Cross Medicare Advantage Basic (HMO)H3822-0025YesNoNo
Blue Cross Medicare Advantage Basic (HMO)H3822-0125YesNoNo
Blue Cross Medicare Advantage Basic Plus (HMO-POS)H3822-0075YesNoNo
Blue Cross Medicare Advantage Choice Plus (PPO)H0107-0055YesNoNo
Blue Cross Medicare Advantage Choice Plus (PPO)H8634-0035YesNoNo
Blue Cross Medicare Advantage Choice Premier (PPO)H8634-0045YesNoNo
Blue Cross Medicare Advantage Classic (PPO)H0107-0035YesNoNo
Blue Cross Medicare Advantage Classic (PPO)H8634-0085YesNoNo
Blue Cross Medicare Advantage Classic (PPO)H8634-0105YesNoNo
Blue Cross Medicare Advantage Classic (PPO)H8634-0225YesNoNo
Blue Cross Medicare Advantage Classic (PPO)H8634-0275YesNoNo
Blue Cross Medicare Advantage Complete (PPO)H8634-0235YesNoNo
Blue Cross Medicare Advantage Dental Premier (PPO)H0107-0075YesNoNo
Blue Cross Medicare Advantage Dental Premier (PPO)H8634-0215YesNoNo
Blue Cross Medicare Advantage Dental Premier (PPO)H8634-0245YesNoNo
Blue Cross Medicare Advantage Dental Premier (PPO)H8634-0295YesNoNo
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)H3251-0291YesNoNo
Blue Cross Medicare Advantage Essential (PPO)H8634-0125YesNoNo
Blue Cross Medicare Advantage Health Choice (PPO)H0107-0105YesNoNo
Blue Cross Medicare Advantage Health Choice (PPO)H8634-0185YesNoNo
Blue Cross Medicare Advantage Health Choice (PPO)H8634-0255YesNoNo
Blue Cross Medicare Advantage Health Choice (PPO)H8634-0305YesNoNo
Blue Cross Medicare Advantage Optimum (PPO)H0107-0045YesNoNo
Blue Cross Medicare Advantage Optimum (PPO)H8634-0325YesNoNo
Blue Cross Medicare Advantage Preferred (PPO)H8634-0335YesNoNo
Blue Cross Medicare Advantage Premier Plus (HMO-POS)H3822-0085YesNoNo
Blue Cross Medicare Advantage Select (HMO)H3251-0025YesNoNo
Blue Cross Medicare Advantage Value (HMO)H3822-0145YesNoNo
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.