Benefily
No prior authorization

Does Aetna (CVS Health) require prior authorization for Novolin N?

Aetna (CVS Health) does not require prior authorization for Novolin N on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
3 ML insulin isophane, human 100 UNT/ML Pen Injector [Novolin N]2206099658 / 658000No prior authorization
insulin isophane, human 100 UNT/ML Injectable Suspension [Novolin N]311027658 / 658000No prior authorization

Product names come from RxNorm (U.S. National Library of Medicine).

Plan-by-plan detail — 3 ML insulin isophane, human 100 UNT/ML Pen Injector [Novolin N]

Novolin N has 2 products in the corpus; this table is for 3 ML insulin isophane, human 100 UNT/ML Pen Injector [Novolin N], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Aetna Community HealthChoices (HMO D-SNP)H3959-0693NoNoNo
Aetna Community HealthChoices (HMO D-SNP)H3959-0703NoNoNo
Aetna Community HealthChoices (HMO D-SNP)H3959-0713NoNoNo
Aetna Community HealthChoices (HMO D-SNP)H3959-0723NoNoNo
Aetna Community HealthChoices (HMO D-SNP)H3959-0733NoNoNo
Aetna Medicare Advantra (PPO)H1608-0293NoNoNo
Aetna Medicare Advantra (PPO)H7301-0023NoNoNo
Aetna Medicare Advantra Dual (HMO D-SNP)H1692-0053NoNoNo
Aetna Medicare Advantra Dual (HMO D-SNP)H3959-0363NoNoNo
Aetna Medicare Advantra Dual Care (HMO D-SNP)H3959-0353NoNoNo
Aetna Medicare Advantra Elite (HMO)H1692-0033NoNoNo
Aetna Medicare Advantra Enhanced (HMO-POS)H3959-0013NoNoNo
Aetna Medicare Advantra Enhanced (HMO-POS)H3959-0393NoNoNo
Aetna Medicare Advantra Enhanced (PPO)H1608-0273NoNoNo
Aetna Medicare Advantra Extra (PPO)H7301-0063NoNoNo
Aetna Medicare Advantra Premier (HMO-POS)H3959-0023NoNoNo
Aetna Medicare Advantra Premier (PPO)H5522-0023NoNoNo
Aetna Medicare Advantra Premier (PPO)H5522-0143NoNoNo
Aetna Medicare Advantra Prime Plus (HMO-POS)H3959-0533NoNoNo
Aetna Medicare Advantra Signature (HMO-POS)H3959-0103NoNoNo
Aetna Medicare Advantra Signature (HMO-POS)H3959-0373NoNoNo
Aetna Medicare Advantra Signature (HMO-POS)H3959-0523NoNoNo
Aetna Medicare Advantra Signature (HMO)H1692-0023NoNoNo
Aetna Medicare Advantra Signature (HMO)H3959-0553NoNoNo
Aetna Medicare Advantra Signature (PPO)H1608-0403NoNoNo
Aetna Medicare Advantra Signature (PPO)H5522-0043NoNoNo
Aetna Medicare Advantra Signature Giveback (PPO)H1608-0313NoNoNo
Aetna Medicare Advantra Signature Giveback (PPO)H5522-0173NoNoNo
Aetna Medicare Advantra Signature Plus (HMO-POS)H3959-0113NoNoNo
Aetna Medicare Advantra Signature Plus (HMO-POS)H3959-0323NoNoNo
Aetna Medicare Carilion Health Prime (HMO-POS)H3931-1583NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H0628-0363NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H0628-0373NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H0628-0383NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H0628-0393NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0803NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0813NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0823NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0833NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0843NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0853NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0943NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H2663-0983NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H2663-1003NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H2663-1023NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3146-0373NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3146-0383NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3192-0333NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3239-0303NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3312-0913NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3931-1913NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3959-0763NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3959-0843NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H5302-0263NoNoNo
Aetna Medicare Chronic Care (PPO C-SNP)H2293-0353NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0313NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0323NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0333NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0343NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0353NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H2663-0993NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H3146-0363NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H3192-0283NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H3192-0293NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H3959-0833NoNoNo
Aetna Medicare Chronic Care Value (HMO C-SNP)H3146-0443NoNoNo
Aetna Medicare Chronic Care Value (HMO C-SNP)H3959-0743NoNoNo
Aetna Medicare Chronic Care Value (HMO C-SNP)H3959-0753NoNoNo
Aetna Medicare Chronic Care Value (HMO C-SNP)H3959-0853NoNoNo
Aetna Medicare Dual (HMO D-SNP)H3146-0023NoNoNo
Aetna Medicare Dual (HMO D-SNP)H4711-0133NoNoNo
Aetna Medicare Dual (HMO D-SNP)H5325-0043NoNoNo
Aetna Medicare Dual (HMO D-SNP)H5325-0053NoNoNo
Aetna Medicare Dual (HMO D-SNP)H5325-0063NoNoNo
Aetna Medicare Dual (PPO D-SNP)H1608-0623NoNoNo
Aetna Medicare Dual (PPO D-SNP)H1608-0773NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H0628-0133NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H3239-0103NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H3239-0123NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H3239-0233NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H4711-0123NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H5302-0203NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H5325-0033NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H5593-0013NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H7149-0063NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H8597-0013NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H8597-0023NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H8597-0033NoNoNo
Aetna Medicare Dual Care (PPO D-SNP)H2293-0043NoNoNo
Aetna Medicare Dual Care (PPO D-SNP)H3288-0533NoNoNo
Aetna Medicare Dual Care (PPO D-SNP)H5521-4653NoNoNo
Aetna Medicare Dual Care (PPO D-SNP)H5521-4723NoNoNo
Aetna Medicare Dual Extra (HMO D-SNP)H3239-0053NoNoNo
Aetna Medicare Dual Extra (PPO D-SNP)H1608-0763NoNoNo
Aetna Medicare Dual Extra (PPO D-SNP)H2293-0213NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3239-0013NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3239-0023NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3239-0073NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3239-0153NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3931-1753NoNoNo
Showing 100 of 658 covering plans.
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.

Novolin N at other payers

Or see Novolin N across every payer at once.

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.