Benefily
Prior authorization required

Does New York Quality Healthcare Corporation require prior authorization for Cresemba?

New York Quality Healthcare 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]16083339 / 9900Prior authorization required
isavuconazonium sulfate 74.5 MG Oral Capsule [Cresemba]26234729 / 9900Prior 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
Wellcare Assist (HMO-POS)H4868-0165YesNoNo
Wellcare Dual Access (HMO D-SNP)H4868-0045YesNoNo
Wellcare Dual Access (HMO D-SNP)H4868-0145YesNoNo
Wellcare Fidelis Assist (HMO-POS)H5599-0025YesNoNo
Wellcare Fidelis Dual Align (HMO D-SNP)H5599-0035YesNoNo
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP)H5599-0135YesNoNo
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP)H5599-0135YesNoNo
Wellcare Fidelis Simple (HMO-POS)H5599-0045YesNoNo
Wellcare Simple (HMO-POS)H4868-0195YesNoNo
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.