Patient Enrollment Process
After the patient has been prescribed CRESEMBA® (isavuconazonium sulfate), the patient can be enrolled in CRESEMBA Support Solutions.a
To enroll a patient, either:
- Log into Astellas eServiceb to complete the patient enrollment form. Print to obtain all healthcare provider and patient signatures and then upload through eService or fax to 1-866-317-6235 OR
- Complete the Patient Enrollment Form manually, including all healthcare provider and patient signatures, and fax to 1-866-317-6235.
a CRESEMBA Support Solutions is a component of Astellas Pharma Support SolutionsSM.
b If you do not have an eService account, it is easy to set one up. If you need technical assistance or help with your account, please call us at 1-800-477-6472. We are available Monday–Friday, 9:00 am–8:00 pm ET.
CRESEMBA® is a registered trademark of Astellas Pharma Inc.