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PRIOR AUTHORIZATION FORM Cresemba Commercial/Medicaid Unless otherwise indicated below, authorization quantities are limited to the manufacturer recommended dosageComplete online at www.selecthealth.org/pa
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Cresemba (isavuconazonium sulfate) is an antifungal medication developed by Astellas Pharma US, Inc. It is used to treat invasive fungal infections, particularly those caused by Aspergillus and Mucor species.
Healthcare providers and facilities that prescribe or administer Cresemba may be required to report usage and associated data to regulatory bodies or pharmaceutical companies, depending on local laws and regulations.
To fill out forms related to Cresemba from Astellas Pharma US, Inc., healthcare providers should ensure they include patient details, dosage information, administration procedures, and any adverse effects observed during treatment.
The purpose of Cresemba (isavuconazonium sulfate) is to provide an effective treatment option for patients suffering from life-threatening fungal infections, helping to improve patient outcomes and reduce mortality rates.
Information that must be reported includes patient demographics, treatment outcomes, incidences of adverse reactions, and any other relevant clinical data pertaining to the use of Cresemba.
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