Medicare Part D spending · FDA facts · help paying
Cresemba (isavuconazonium sulfate): what Medicare Part D spends and the dated federal facts we hold
CMS's Medicare Part D spending dataset reports gross spending on Cresemba of $123.03 million in 2024, across 19,216 claims and 4,665 beneficiaries.
When could a generic arrive
Each date below is an upper bound from listed patent and exclusivity dates, not a forecast of when a generic will launch. Basis: latest of all listed patent and exclusivity expiries in this Orange Book edition; an upper bound from listed dates only, not a forecast of launch (litigation, settlements, delisting, tentative approvals and 180-day status are not modelled).
| Application | Product | Latest listed patent expiry | Latest listed exclusivity expiry | Latest of the two | Set by |
|---|---|---|---|---|---|
| NDA207500 | Cresemba | March 14, 2028 | June 8, 2031 | June 8, 2031 | exclusivity code PED; 29 dated entries listed |
| NDA207501 | Cresemba | April 30, 2026 | June 8, 2031 | June 8, 2031 | exclusivity code PED; 11 dated entries listed |
Source: FDA Orange Book data files, edition September 2026, read November 7, 2026; patent listings are as submitted by applicants and not verified by FDA. FDA data file.
Medicare Part D spending
CMS's Medicare Part D spending dataset reports gross spending on Cresemba of $123.03 million in 2024, across 19,216 claims and 4,665 beneficiaries. CMS's dataset states spending is gross drug cost and does not reflect manufacturers' rebates or other price concessions. Spending is the total paid by Medicare, plans and beneficiaries for the drug's claims, not what a patient pays.
| Year | Gross spending | Claims | Beneficiaries | Average spending per claim |
|---|---|---|---|---|
| 2024 | $123.03 million | 19,216 | 4,665 | $6,403 |
| 2023 | $95.68 million | 14,677 | 3,570 | $6,519 |
| 2022 | $72.58 million | 12,149 | 2,934 | $5,974 |
| 2021 | $59.88 million | 10,606 | 2,552 | $5,646 |
| 2020 | $55.59 million | 10,209 | 2,342 | $5,445 |
Source: CMS Medicare Part D spending by drug (data-year-2024, modified 2026-06-25), read November 7, 2026. CMS dataset page. All manufacturers combined; the figures are a drug-level aggregate of claims and say nothing about a formulary or coverage.
Rare-disease (orphan) designations
The FDA's orphan drug database lists 7 designations for isavuconazonium sulfate, 6 with an approval recorded. The 6 most recent are shown. A designation is not an approval and not a statement that the drug treats the condition; the status column is the database's own.
| Designated | Designated use | Status | Sponsor |
|---|---|---|---|
| October 20, 2014 | Treatment of invasive candidiasis/candidemia | Designated | Astellas Pharma Global Development, Inc. |
| October 25, 2013 | Treatment of zygomycosis | Designated/Approved | Astellas Pharma Global Development Inc. |
| October 25, 2013 | Treatment of zygomycosis | Designated/Approved | Astellas Pharma Global Development Inc. |
| October 25, 2013 | Treatment of zygomycosis | Designated/Approved | Astellas Pharma Global Development Inc. |
| May 6, 2013 | Treatment of invasive aspergillosis | Designated/Approved | Astellas Pharma Global Development Inc. |
| May 6, 2013 | Treatment of invasive aspergillosis | Designated/Approved | Astellas Pharma Global Development Inc. |
Source: FDA Orphan Drug Designations and Approvals database, read November 7, 2026. FDA orphan drug search.
Medicaid spending
CMS's Medicaid spending dataset reports $34.20 million for Cresemba in 2024. CMS's dataset states spending includes Federal and State reimbursement and dispensing fees and is not reduced by Medicaid rebates paid to the states. Spending is what Medicaid paid, not what a patient pays.
| Year | Spending | Claims |
|---|---|---|
| 2024 | $34.20 million | 6,067 |
| 2023 | $30.50 million | 5,748 |
| 2022 | $24.03 million | 4,519 |
| 2021 | $18.78 million | 3,886 |
| 2020 | $15.24 million | 3,283 |
Source: CMS Medicaid spending by drug (data-year-2024, modified 2026-06-25), read November 7, 2026. CMS dataset page. A national drug-level aggregate; it says nothing about any state's coverage rules.
Federal formulary status
VA national formulary
The VA's national formulary files list the ingredient isavuconazonium sulfate, which covers every maker's product with that ingredient, not only Cresemba. Each row is a VA national drug file entry and its status.
| VA entry | Status | Active NDCs |
|---|---|---|
| ISAVUCONAZONIUM SULFATE CAP,ORAL | Non-formulary | 4 |
| ISAVUCONAZONIUM SULFATE INJ,LYPHL | Non-formulary | 1 |
Source: VA Pharmacy Benefits Management national formulary (va-formulary-2026-09), read November 7, 2026. VA formulary page.
Where help paying exists
No program in our finder currently lists this drug as open to new patients.
Label changes
The FDA file lists no non-manufacturing label change for these applications since November 11, 2025. The most recent one it lists is dated March 24, 2025 (Labeling).
Source: FDA Drugs@FDA data file, read November 7, 2026. Dates are the FDA action dates; the documents are on FDA's own site. FDA data file. All recent changes across these drugs: label changes feed.
Questions
Does Medicare have a negotiated price for Cresemba?
The CMS negotiated-price file we read does not list Cresemba, so this page shows no negotiated price. A drug appears in that file only when CMS selects it for negotiation, and not being listed says nothing about what it costs a patient.
Is there help paying for Cresemba?
No program in our finder lists this drug yet.
When could a generic version of Cresemba arrive?
For Cresemba, the FDA's Orange Book (edition September 2026) lists these latest patent or exclusivity expiry dates by application: NDA207500, June 8, 2031; NDA207501, June 8, 2031. Each date is an upper bound from listed patent and exclusivity dates, not a forecast of when a generic will launch. Basis: latest of all listed patent and exclusivity expiries in this Orange Book edition; an upper bound from listed dates only, not a forecast of launch (litigation, settlements, delisting, tentative approvals and 180-day status are not modelled).
How much does Medicare Part D spend on Cresemba?
CMS's Medicare Part D spending dataset reports gross spending on Cresemba of $123.03 million in 2024, across 19,216 claims and 4,665 beneficiaries. CMS's dataset states spending is gross drug cost and does not reflect manufacturers' rebates or other price concessions. Spending is the total paid by Medicare, plans and beneficiaries for the drug's claims, not what a patient pays.
For developers: this drug as data
One call returns the generic-entry upper bound, label history, recalls, trials, assistance and Part D spending, and where facts exist the FDA safety program (REMS), DEA schedule, orphan designations, safety notices and Medicaid use by state, each with receipts.
Example file: https://omnirx.org/api/v1/dossier/cresemba.json
The licence page sets out what a data licence covers, and the API page documents these files.
Evaluation files with receipts; contract may change; not clinical advice.
Sources and terms. This drug is not in the CMS negotiated-price file, so no price source is used. Program details read from each program's own pages; CMS Medicare Part D spending by drug; CMS Medicaid spending by drug; TRICARE and VA formulary files; FDA Drugs@FDA and Orange Book data files. Figures are stored with their sources in the OmniRx library (edition 2026-11). Free to cite with attribution. Not medical, legal or financial advice. Report an error through the contact page. Licence the data.