No prior authorization

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

Bravo Health Pennsylvania, INC. does not require prior authorization for Novolin 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 product	Plans covering	Require prior auth	Step therapy	Qty limit	Status
3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R]2206092	35 / 35	0	0	0	No prior authorization
insulin, regular, human 100 UNT/ML Injectable Solution [Novolin R]311033	0 / 35	0	0	0	Not on formulary

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

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

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

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
HealthSpring Achieve (HMO C-SNP)	H0354-027	4	No	No	No
HealthSpring Achieve (HMO C-SNP)	H3949-024	4	No	No	No
HealthSpring Alliance (HMO)	H0354-028	4	No	No	No
HealthSpring Preferred (HMO)	H0354-001	4	No	No	No
HealthSpring Preferred (HMO)	H3949-035	4	No	No	No
HealthSpring Preferred (HMO)	H3949-045	4	No	No	No
HealthSpring Preferred (HMO)	H3949-047	4	No	No	No
HealthSpring Preferred (HMO)	H3949-049	4	No	No	No
HealthSpring Preferred (HMO)	H3949-052	4	No	No	No
HealthSpring Preferred (HMO)	H3949-054	4	No	No	No
HealthSpring Preferred (HMO)	H9725-009	4	No	No	No
HealthSpring Preferred (HMO)	H9725-009	4	No	No	No
HealthSpring Preferred (HMO)	H9725-009	4	No	No	No
HealthSpring Preferred (HMO)	H9725-009	4	No	No	No
HealthSpring Preferred Full Savings (HMO)	H0354-030	4	No	No	No
HealthSpring Preferred PA (HMO)	H3949-031	4	No	No	No
HealthSpring Preferred Plus (HMO)	H3949-030	4	No	No	No
HealthSpring Preferred Plus (HMO)	H3949-048	4	No	No	No
HealthSpring Preferred Plus (HMO)	H9725-017	4	No	No	No
HealthSpring Preferred Plus (HMO)	H9725-017	4	No	No	No
HealthSpring Preferred Plus (HMO)	H9725-017	4	No	No	No
HealthSpring Preferred Plus (HMO)	H9725-017	4	No	No	No
HealthSpring Preferred Savings (HMO)	H0354-029	4	No	No	No
HealthSpring Preferred Savings (HMO)	H3949-053	4	No	No	No
HealthSpring Preferred Savings (HMO)	H9725-015	4	No	No	No
HealthSpring Preferred Savings (HMO)	H9725-015	4	No	No	No
HealthSpring Preferred Savings (HMO)	H9725-015	4	No	No	No
HealthSpring Preferred Savings (HMO)	H9725-015	4	No	No	No
HealthSpring Preferred Savings (HMO)	H9725-016	4	No	No	No
HealthSpring Preferred Select (HMO)	H9725-014	4	No	No	No
HealthSpring Premier (HMO-POS)	H9725-018	4	No	No	No
HealthSpring TotalCare (HMO D-SNP)	H9725-003	4	No	No	No
HealthSpring TotalCare Plus (HMO D-SNP)	H2752-003	4	No	No	No
HealthSpring TotalCare Plus (HMO D-SNP)	H3949-009	4	No	No	No
HealthSpring TotalCare Plus (HMO D-SNP)	H9725-013	4	No	No	No

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 R at other payers

Or see Novolin 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.