Topic

Increlex (mecasermin)

A collection of 25 issues

UnitedHealthcare's Coverage Criteria for Increlex (Mecasermin) in Georgia: What Counts as "Medically Necessary"?

Answer Box: Getting Increlex Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Increlex (mecasermin) through OptumRx for pediatric patients with severe primary IGF-1 deficiency. Key criteria: height ≤ -3.0 standard deviation scores, IGF-1 levels ≤ -3.0 SDS, normal/elevated growth hormone levels, and pediatric endocrinologist prescription. If denied,
6 min read

How to Get Increlex (mecasermin) Covered by UnitedHealthcare in Illinois: Complete Prior Authorization and Appeal Guide

Answer Box: Getting Increlex Covered by UnitedHealthcare in Illinois To get Increlex (mecasermin) covered by UnitedHealthcare in Illinois: Submit prior authorization through OptumRx with documented severe primary IGF-1 deficiency (height ≤-3 SD, IGF-1 below 5th percentile, normal/elevated GH levels) from a pediatric endocrinologist. If denied, file internal appeal within
5 min read

Work With Your Doctor to Get Increlex (mecasermin) Approved by Aetna (CVS Health) in Illinois: Provider Collaboration Guide

Answer Box: Getting Increlex (mecasermin) Covered by Aetna (CVS Health) in Illinois Aetna (CVS Health) requires prior authorization for Increlex (mecasermin) in pediatric patients with severe primary IGF-1 deficiency. Success depends on strong provider collaboration: your pediatric endocrinologist must document height ≤3 SD below mean, IGF-1 ≤3 SD below normal,
6 min read

How to Get Increlex (mecasermin) Covered by Humana in Florida: Prior Authorization, Appeals & Approval Strategies

Quick Answer for Florida Patients: Humana covers Increlex (mecasermin) under strict prior authorization requiring pediatric endocrinology oversight, severe primary IGF-1 deficiency diagnosis (height SDS ≤-3.0, IGF-1 SDS ≤-3.0), and documented hypoglycemia monitoring plan. Submit PA through Humana Clinical Pharmacy Review with complete lab documentation. If denied, you have
6 min read