Limited Coverage Drugs - Isavuconazole

Generic Name

isavuconazole

Strength

100 mg

Form

capsules

Special Authority Criteria

Approval Period

  • For the treatment of Invasive Mucormycosis (IM) in adults when prescribed by infectious disease specialist and if a patient is established on isavuconazole in hospital

8 weeks

Practitioner Exemptions

  • None

Special Notes

  • Isavuconazole is not indicated and reimbursed for prophylaxis of IM.

Special Authority Request Form(s)