Cresemba Prior Authorization Resources

Find the right PA form for your patient's payer, get the ICD-10 codes you need, and download appeal templates — all in one place.

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc.
California - Uniform Prior Authorization FormCalifornia
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc.
Cigna - General Medication Prior Authorization FormCigna Corporation
Colorado - Uniform Prior Authorization FormColorado

ICD-10 codes for Cresemba Prior Authorizations

B44.0Invasive pulmonary aspergillosis
B44.7Disseminated aspergillosis
B44.9Aspergillosis, unspecified
B46.4Disseminated mucormycosis
B46.9Zygomycosis, unspecified

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Coverage Authorization AppealsCoverage Authorization Appeals resource
Letter of Medical NecessityLetter of Medical Necessity resource
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Billing & Coding GuideBilling & Coding Guide resource
Coverage Authorization RequestCoverage Authorization Request resource
Cresemba Support Solutions Patient Enrollment FormCresemba Support Solutions Patient Enrollment Form resource

Support for Getting Your Patient on Cresemba