How to Get Increlex (Mecasermin) Covered by Humana in Illinois: Decision Tree & Appeal Guide
Quick Answer: Increlex (mecasermin) coverage by Humana requires severe primary IGF-1 deficiency diagnosis with height SDS ≤ -3.0, IGF-1 SDS ≤ -3.0, and normal/elevated growth hormone levels. Contact Humana Clinical Pharmacy Review at 800-555-2546 for prior authorization. If denied, Illinois residents have strong appeal rights including automatic external review.