Benefily
No prior authorization

Does Bravo Health Pennsylvania, INC. require prior authorization for Humulin R?

Bravo Health Pennsylvania, 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.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R]173131735 / 35000No prior authorization
insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]31103635 / 35000No prior authorization
insulin, regular, human 500 UNT/ML Injectable Solution [Humulin R]35185935 / 35000No 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
HealthSpring Achieve (HMO C-SNP)H0354-0275NoNoNo
HealthSpring Achieve (HMO C-SNP)H3949-0245NoNoNo
HealthSpring Alliance (HMO)H0354-0285NoNoNo
HealthSpring Preferred (HMO)H0354-0015NoNoNo
HealthSpring Preferred (HMO)H3949-0355NoNoNo
HealthSpring Preferred (HMO)H3949-0455NoNoNo
HealthSpring Preferred (HMO)H3949-0475NoNoNo
HealthSpring Preferred (HMO)H3949-0495NoNoNo
HealthSpring Preferred (HMO)H3949-0525NoNoNo
HealthSpring Preferred (HMO)H3949-0545NoNoNo
HealthSpring Preferred (HMO)H9725-0095NoNoNo
HealthSpring Preferred (HMO)H9725-0095NoNoNo
HealthSpring Preferred (HMO)H9725-0095NoNoNo
HealthSpring Preferred (HMO)H9725-0095NoNoNo
HealthSpring Preferred Full Savings (HMO)H0354-0305NoNoNo
HealthSpring Preferred PA (HMO)H3949-0315NoNoNo
HealthSpring Preferred Plus (HMO)H3949-0305NoNoNo
HealthSpring Preferred Plus (HMO)H3949-0485NoNoNo
HealthSpring Preferred Plus (HMO)H9725-0175NoNoNo
HealthSpring Preferred Plus (HMO)H9725-0175NoNoNo
HealthSpring Preferred Plus (HMO)H9725-0175NoNoNo
HealthSpring Preferred Plus (HMO)H9725-0175NoNoNo
HealthSpring Preferred Savings (HMO)H0354-0295NoNoNo
HealthSpring Preferred Savings (HMO)H3949-0535NoNoNo
HealthSpring Preferred Savings (HMO)H9725-0155NoNoNo
HealthSpring Preferred Savings (HMO)H9725-0155NoNoNo
HealthSpring Preferred Savings (HMO)H9725-0155NoNoNo
HealthSpring Preferred Savings (HMO)H9725-0155NoNoNo
HealthSpring Preferred Savings (HMO)H9725-0165NoNoNo
HealthSpring Preferred Select (HMO)H9725-0145NoNoNo
HealthSpring Premier (HMO-POS)H9725-0185NoNoNo
HealthSpring TotalCare (HMO D-SNP)H9725-0035NoNoNo
HealthSpring TotalCare Plus (HMO D-SNP)H2752-0035NoNoNo
HealthSpring TotalCare Plus (HMO D-SNP)H3949-0095NoNoNo
HealthSpring TotalCare Plus (HMO D-SNP)H9725-0135NoNoNo
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.