Cresemba (isavuconazole) — Blue Cross Blue Shield of New Mexico
other infections supported by compendia
Reauthorization criteria
- The patient has been previously approved for the requested agent through the plan’s Prior Authorization review process AND
 - ONE of the following:
 - A. BOTH of the following:
 - 1. The patient has a diagnosis of invasive aspergillosis or invasive mucormycosis AND
 - 2. The patient has continued indicators of active disease (e.g., biomarkers in serum assay, biopsy, microbiologic culture, radiographic evidence) OR
 - B. BOTH of the following:
 - 1. The patient has a diagnosis other than invasive aspergillosis or invasive mucormycosis AND
 - 2. There is support for continued use of the requested agent for the requested indication AND
 - 3. The patient does NOT have any FDA labeled contraindications to the requested agent
 
Approval duration
6 months