Topic

Cresemba (isavuconazole)

A collection of 22 issues

How to Get Cresemba (Isavuconazole) Covered by Humana in Georgia: Timeline, Forms & Appeal Process

Answer Box: Getting Cresemba Covered by Humana in Georgia Cresemba (isavuconazole) requires prior authorization from Humana with decisions typically within 1 business day for electronic submissions (95% by 2026) or 7 calendar days maximum under CMS rules. Key requirements: invasive aspergillosis or mucormycosis diagnosis, ID specialist involvement, and documented failure/

How to Get Cresemba (isavuconazole) Covered by Cigna in Florida: Complete Prior Authorization Guide

Answer Box: Fastest Path to Cresemba Coverage Cigna requires prior authorization for Cresemba (isavuconazole) in Florida with 6-month approval duration for invasive aspergillosis and mucormycosis. Submit PA within 72 hours of prescription using Cigna's electronic portal or Authorization Request Form. Include confirmed diagnosis, culture/imaging evidence, prior antifungal

If Cresemba (Isavuconazole) Isn't Approved by Humana in Illinois: Formulary Alternatives & Exception Paths

Answer Box: Quick Guide to Cresemba Alternatives & Exceptions If Humana denies Cresemba (isavuconazole) in Illinois, formulary alternatives typically include voriconazole, posaconazole, and amphotericin B formulations on lower tiers with prior authorization. For exceptions: submit Humana's coverage determination form with medical necessity documentation within 72 hours for standard

How Long Does It Take to Get Cresemba (isavuconazole) Approved by UnitedHealthcare in New Jersey? Timeline & Milestones

Answer Box: Getting Cresemba Approved by UnitedHealthcare in New Jersey Timeline: Standard prior authorization takes up to 15 business days; urgent cases get decisions within 72 hours (24 hours for Medicare plans). First step: Verify your plan's formulary status at the UnitedHealthcare Provider Portal and gather complete clinical

How to Get Cresemba (Isavuconazole) Covered by Cigna in Georgia: Complete PA Guide with Forms and Appeals Timeline

Answer Box: Cresemba (isavuconazole) requires prior authorization from Cigna for invasive aspergillosis and mucormycosis. Submit PA via CoverMyMeds or Surescripts portal with confirmed diagnosis, culture results, and ID specialist documentation. If denied, you have 180 days for internal appeal, then 60 days for Georgia DOI external review. Start with your

Myths vs. Facts: Getting Cresemba (Isavuconazole) Covered by Aetna (CVS Health) in Illinois - Complete Appeals Guide

Answer Box: Getting Cresemba Covered by Aetna in Illinois Cresemba (isavuconazole) requires prior authorization from Aetna (CVS Health) in Illinois. You'll need documented invasive aspergillosis or mucormycosis, evidence of voriconazole failure/intolerance for aspergillosis cases, and typically an infectious disease specialist consultation. If denied, Illinois provides strong appeal

How to Get Cresemba (isavuconazole) Covered by Humana in North Carolina: Prior Authorization Guide and Appeal Process

Answer Box: Getting Cresemba Covered by Humana in North Carolina Cresemba (isavuconazole) requires prior authorization from Humana and is typically placed on Tier 4 (Specialty) with higher cost-sharing. To get approval: 1) Confirm your diagnosis of invasive aspergillosis or mucormycosis with culture/biopsy results, 2) Submit Humana's coverage

How Long Does It Take to Get Cresemba (Isavuconazole) Approved by Cigna in North Carolina? Complete Timeline & Appeal Guide

Answer Box: Quick Start Guide Getting Cresemba (isavuconazole) approved by Cigna in North Carolina typically takes 2-5 business days with complete documentation. For invasive aspergillosis, you'll need to try voriconazole first (step therapy) unless contraindicated. If denied, North Carolina offers external review through Smart NC with 45-day standard

Myths vs. Facts: Getting Cresemba (Isavuconazole) Covered by Blue Cross Blue Shield in Illinois

Answer Box: Getting Cresemba Covered in Illinois Blue Cross Blue Shield of Illinois requires prior authorization for Cresemba (isavuconazole) with infectious disease specialist consultation. The fastest path to approval: 1) Ensure your ID specialist documents confirmed invasive aspergillosis or mucormycosis with lab evidence, 2) Submit PA request via Availity Essentials

How to Get Cresemba (Isavuconazole) Covered by Blue Cross Blue Shield in New York: Complete Coding, Prior Authorization & Appeals Guide

Answer Box: Getting Cresemba Covered by Blue Cross Blue Shield in New York Blue Cross Blue Shield (BCBS) in New York requires prior authorization for Cresemba (isavuconazole) with specific coding and documentation. Use ICD-10 code B44.0 for invasive aspergillosis, HCPCS J1833 for IV billing, and NDC 0469-0420-01 for the