Benefily
No prior authorization

Does Bluecross Blueshield Of Tennessee, INC. require prior authorization for Humulin R?

Bluecross Blueshield Of Tennessee, INC. does not require prior authorization for Humulin R on the Medicare Part D plans that cover it.

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

  • This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R]173131717 / 170017No prior authorization
insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]3110360 / 17000Not on formulary
insulin, regular, human 500 UNT/ML Injectable Solution [Humulin R]35185917 / 170017No prior authorization

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

Plan-by-plan detail — 3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R]

Humulin R has 3 products in the corpus; this table is for 3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
BlueAdvantage Diamond (PPO)H7917-0093NoNoYes
BlueAdvantage Diamond (PPO)H7917-0103NoNoYes
BlueAdvantage Diamond (PPO)H7917-0113NoNoYes
BlueAdvantage Extra (PPO)H7917-0413NoNoYes
BlueAdvantage Garnet (PPO)H7917-0323NoNoYes
BlueAdvantage Garnet (PPO)H7917-0333NoNoYes
BlueAdvantage Ruby (PPO)H7917-0123NoNoYes
BlueAdvantage Ruby (PPO)H7917-0133NoNoYes
BlueAdvantage Ruby (PPO)H7917-0143NoNoYes
BlueAdvantage Ruby (PPO)H7917-0153NoNoYes
BlueAdvantage Sapphire (PPO)H7917-0303NoNoYes
BlueAdvantage Sapphire (PPO)H7917-0313NoNoYes
BlueAdvantage Sapphire (PPO)H7917-0383NoNoYes
BlueAdvantage Sapphire (PPO)H7917-0403NoNoYes
BlueAdvantage Total Heart and Diabetes (PPO C-SNP)H7917-0443NoNoYes
BlueAdvantage Total Heart and Diabetes (PPO C-SNP)H7917-0453NoNoYes
BlueAdvantage Total Heart and Diabetes Plus (PPO C-SNP)H7917-0463NoNoYes
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.

Humulin R at other payers

Or see Humulin R 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.