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Does Medicare Part D cover Humalog?

Humalog appears on the Medicare Part D formularies of 168 payers in the corpus, across 2,270 plans. 6 payers require prior authorization on every covering plan, 0 on some plans, and 162 on none.

Beyond prior authorization: 0 covering plans require step therapy (another drug tried first) and 410 apply a quantity limit, on at least one Humalog product.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStep therapyQuantity limitStatus
UnitedHealthcare731000No prior authorization
Blue Cross Blue Shield (affiliate)1990074No prior authorization
Cigna171000No prior authorization
Kaiser Permanente115000No prior authorization
SCAN Health Plan74000No prior authorization
Alignment Healthcare670067No prior authorization
Uhc Of California40000No prior authorization
Priority Health37000No prior authorization
Bravo Health Pennsylvania, INC.35000No prior authorization
Preferred Care Partners, INC.35000No prior authorization
Health Care Service Corporation310031No prior authorization
Solis Health Plans, INC.240024No prior authorization
Capital Advantage Insurance Company230023No prior authorization
Physicians Health Choice Of Texas, LLC22000No prior authorization
Tufts Associated Health Maintenance Organization21000No prior authorization
Mmm Healthcare, LLC200020No prior authorization
Mcs Advantage, INC.200020No prior authorization
Hcsc Insurance Services Company180018No prior authorization
California Physicians' Service17000No prior authorization
Medica Health Plans17000No prior authorization
Upmc Health Plan, INC.170017No prior authorization
Ultimate Health Plans, INC.16000No prior authorization
Excellus Health Plan, INC.161600Prior authorization required
Medical Mutual Of Ohio16000No prior authorization
Blue Care Network Of Michigan15000No prior authorization
Selecthealth, INC.14000No prior authorization
Florida Blue Medicare, INC.130013No prior authorization
Peoples Health, INC.13000No prior authorization
Upmc Health Network, INC.120012No prior authorization
Health Insurance Plan Of Greater New York100010No prior authorization
Quartz Health Plan Corporation10000No prior authorization
Sanford Health Plan9000No prior authorization
Healthier New Jersey Insurance Company8008No prior authorization
Keystone Health Plan East, INC.8000No prior authorization
Network Health Insurance Corporation8800Prior authorization required
Fallon Community Health Plan8000No prior authorization
Peak Health Insurance Corporation8000No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care8008No prior authorization
Bravo Health Mid-Atlantic, INC.7000No prior authorization
Medica Insurance Company7000No prior authorization
Keystone Health Plan Central, INC.7007No prior authorization
Clover Health7700Prior authorization required
Essence Healthcare PPO, INC.7000No prior authorization
Bluecross And Blueshield Of South Carolina7000No prior authorization
Providence Health Assurance7000No prior authorization
Mass General Brigham Health Plan, INC6000No prior authorization
Essence Healthcare, INC.6000No prior authorization
Hometown Health Plan, INC.6000No prior authorization
Presbyterian Health Plan6006No prior authorization
Perennial Advantage Of Colorado, INC.6000No prior authorization
Preferred Care Network, INC.6000No prior authorization
Scott And White Health Plan6006No prior authorization
Sapphire Edge, INC.5005No prior authorization
Independent Health Association, INC.5000No prior authorization
Aetna (CVS Health)5000No prior authorization
Priority Health Choice, INC.5000No prior authorization
Baylor Scott & White Insurance Company4004No prior authorization
Care N' Care Insurance Company Of North Carolina4000No prior authorization
Health New England, INC.4004No prior authorization
The Health Plan Of West Virginia, INC.4000No prior authorization
Communitycare Government Programs, INC.4000No prior authorization
Qcc Insurance Company4000No prior authorization
Security Health Plan Of Wisconsin, INC.4000No prior authorization
Capital Health Plan4004No prior authorization
Boston Medical Center Health Plan, INC.4000No prior authorization
Bluecross Blueshield Kansas Solutions, INC.4004No prior authorization
Ghs Insurance Company4004No prior authorization
Thp Insurance Company4000No prior authorization
Dean Health Plan, INC.4000No prior authorization
Quartz Health Plan Mn Corporation4000No prior authorization
Medisun, INC.3000No prior authorization
Eternalhealth, INC.3000No prior authorization
Patrius Health, INC.3003No prior authorization
Marquis Advantage, INC.3000No prior authorization
Secur INC3000No prior authorization
Align Senior Care California INC.3000No prior authorization
Pruitthealth Premier, INC.3000No prior authorization
Capital District Physicians' Health Plan, INC.3300Prior authorization required
Procare Advantage, LLC3000No prior authorization
Eternalhealth Of Arizona INC3000No prior authorization
Aultcare Health Insuring Corporation3000No prior authorization
Simpra Advantage, INC.3000No prior authorization
Provider Partners Health Plan Of Pennsylvania, INC3000No prior authorization
Provider Partners Health Plan Of North Carolina3000No prior authorization
Provider Partners Health Plan Of Indiana3000No prior authorization
Amerihealth Insurance Company Of New Jersey3000No prior authorization
Liberty Advantage, LLC3000No prior authorization
Central Mass Health, LLC3003No prior authorization
Perennial Advantage Of Ohio, INC.3000No prior authorization
Provider Partners Health Plan Of Missouri, INC.3000No prior authorization
Hamaspik, INC.2002No prior authorization
Arizona Physicians Ipa, INC.2000No prior authorization
Ks Plan Administrators, LLC2000No prior authorization
Carepartners Of Connecticut, INC.2000No prior authorization
Amerihealth Caritas Vip Next, INC.2000No prior authorization
Beshp, INC.2000No prior authorization
Commonwealth Care Alliance, INC.2200Prior authorization required
Lifeworks Advantage, LLC2000No prior authorization
Kansas Superior Select, INC.2000No prior authorization
South Country Health Alliance2000No prior authorization
Sentara Health Plans2000No prior authorization
Sanford Health Plan Of Minnesota2000No prior authorization
Nhc Advantage, LLC2000No prior authorization
Vista Health Plan, INC.2000No prior authorization
American Health Plan Of Ut, INC.2000No prior authorization
Upmc For You, INC2002No prior authorization
American Health Plan Of Missouri, INC.2000No prior authorization
Troy Health, INC.2000No prior authorization
Banner - University Care Advantage2000No prior authorization
Tufts Health Public Plans, INC.2000No prior authorization
Community Health Plan Of Washington2000No prior authorization
Nextblue Of North Dakota Insurance Company2000No prior authorization
Pruitthealth Premier North Carolina, LLC2000No prior authorization
American Health Plan Of Iowa INC2000No prior authorization
Elderserve Health, INC.2000No prior authorization
Align Senior Care Mi, LLC2000No prior authorization
Isnp Ventures, LLC2000No prior authorization
Memorial Hermann Health Plan2002No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.2000No prior authorization
Excellus Health Plan Community Care LLC2200Prior authorization required
Group Health Cooperative Of Eau Claire2000No prior authorization
Georgia Assurance, INC.2000No prior authorization
Caresource Georgia CO.2000No prior authorization
Wyoblue Advantage INC2000No prior authorization
Community Health Choice Texas, INC.2000No prior authorization
Align Senior Care Florida, INC.2000No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp2000No prior authorization
Hm Health Insurance Company2000No prior authorization
Horizon Insurance Company2002No prior authorization
Longevity Health Plan Of Colorado, INC.1000No prior authorization
Local Initiative Health Authority For La County1000No prior authorization
Longevity Health Plan Of Florida, INC.1000No prior authorization
Alameda Alliance For Health1000No prior authorization
HMO Minnesota1001No prior authorization
Amerihealth Caritas Louisiana, INC.1000No prior authorization
Upper Peninsula Health Plan, LLC1000No prior authorization
Independent Health Benefits Corporation1000No prior authorization
Oklahoma Superior Select, INC.1000No prior authorization
Provider Partners Health Plan Of Illinois1000No prior authorization
Ghs Health Maintenance Organization, INC.1001No prior authorization
Provider Partners Health Plan Of Texas, INC.1000No prior authorization
Hap Caresource1000No prior authorization
Select Health Of South Carolina, INC.1000No prior authorization
Contra Costa County Medical Service Dba Contra Costa Health1000No prior authorization
Longevity Health Plan Of North Carolina, INC.1000No prior authorization
Orange County Health Authority1001No prior authorization
Banner Health Plan, INC.1000No prior authorization
Alohacare1000No prior authorization
San Mateo Health Commission1001No prior authorization
Amerihealth Michigan, INC.1000No prior authorization
Amerihealth Caritas Florida, INC.1000No prior authorization
Caresource Ohio, INC.1000No prior authorization
Lagniappe Advantage Insurance Company1000No prior authorization
American Health Plan Of Fl, INC.1000No prior authorization
Upmc Health Coverage, INC.1001No prior authorization
Provider Partners Health Plan Of Kentucky1000No prior authorization
Longevity Health Plan Of Michigan, INC.1000No prior authorization
American Health Plan, INC.1000No prior authorization
Amerihealth Caritas North Carolina, INC.1000No prior authorization
Horizon Healthcare Of New Jersey, INC.1001No prior authorization
Longevity Health Plan Of New York, INC.1000No prior authorization
Dignity Care Corporation1000No prior authorization
Healthy Mississippi, INC.1000No prior authorization
Longevity Health Plan Of Illinois, INC.1000No prior authorization
Ventura County Medi-Cal Managed Care Commission1001No prior authorization
American Health Plan Of Indiana INC1000No prior authorization
American Health Plan Of Ms, INC.1000No prior authorization
American Health Plan Of Pennsylvania INC1000No prior authorization

“Require prior auth”, “step therapy” and “quantity limit” each count a plan when any Humalog product on its formulary carries that condition.

Source
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File
Effective
2026-06-30
Retrieved
2026-07-19
SHA-256
e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.