Increlex® (mecasermin)

No prior authorization required for:

  • Emergency room
  • Inpatient
  • Skilled nursing facility

Injectable auth/billing notes:

Medications billed with miscellaneous codes will be reviewed. Explanatory notes must accompany the claim.

Priority Health Medicare applies CMS local coverage determination criteria when available for Part B drugs.

Code(s): J2170

Benefit: Pharmacy

Notes: Treatment of insulin-like growth factor-1 deficiency

Length of authorization: 12 months