Does California Physicians' Service require prior authorization for Novolin R?
California Physicians' Service 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 | 17 / 17 | 0 | 0 | 0 | No prior authorization |
| insulin, regular, human 100 UNT/ML Injectable Solution [Novolin R]311033 | 0 / 17 | 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 |
|---|---|---|---|---|---|
| Blue Shield 65 Plus (HMO) | H0504-015 | 3 | No | No | No |
| Blue Shield 65 Plus (HMO) | H0504-017 | 3 | No | No | No |
| Blue Shield 65 Plus (HMO) | H0504-026 | 3 | No | No | No |
| Blue Shield 65 Plus (HMO) | H0504-028 | 3 | No | No | No |
| Blue Shield 65 Plus (HMO) | H0504-038 | 3 | No | No | No |
| Blue Shield 65 Plus (HMO) | H0504-039 | 3 | No | No | No |
| Blue Shield 65 Plus Choice Plan (HMO) | H0504-040 | 3 | No | No | No |
| Blue Shield 65 Plus Plan 2 (HMO) | H0504-021 | 3 | No | No | No |
| Blue Shield Advantage (HMO) | H0504-050 | 3 | No | No | No |
| Blue Shield AdvantageOptimum Plan (HMO) | H5928-004 | 3 | No | No | No |
| Blue Shield AdvantageOptimum Plan 1 (HMO) | H5928-010 | 3 | No | No | No |
| Blue Shield Inspire (HMO) | H0504-041 | 3 | No | No | No |
| Blue Shield Inspire (HMO) | H0504-043 | 3 | No | No | No |
| Blue Shield Inspire (HMO) | H0504-047 | 3 | No | No | No |
| Blue Shield Rx Enhanced (PDP) | S2468-004 | 3 | No | No | No |
| Blue Shield Rx Plus (PDP) | S2468-003 | 3 | No | No | No |
| Blue Shield TotalDual Plan (HMO D-SNP) | H2819-001 | 3 | No | No | No |
- 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
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.