Does Capital Advantage Insurance Company require prior authorization for Humulin R?
Prior authorization for Humulin R differs across Capital Advantage Insurance Company's Medicare Part D plans and product strengths — 3 of 3 Humulin R products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.
Some plans require authorization and others do not. The member's specific plan decides.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R]1731317 | 2 / 23 | 0 | 0 | 2 | No prior authorization |
| insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]311036 | 23 / 23 | 0 | 0 | 23 | No prior authorization |
| insulin, regular, human 500 UNT/ML Injectable Solution [Humulin R]351859 | 23 / 23 | 23 | 0 | 0 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]
Humulin R has 3 products in the corpus; this table is for insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Capital Blue Cross Basic (PPO) | H3923-048 | 3 | No | No | Yes |
| Capital Blue Cross Basic (PPO) | H3923-048 | 3 | No | No | Yes |
| Capital Blue Cross Basic (PPO) | H3923-048 | 3 | No | No | Yes |
| Capital Blue Cross Classic (PPO) | H3923-013 | 3 | No | No | Yes |
| Capital Blue Cross Complete (PPO) | H3923-047 | 3 | No | No | Yes |
| Capital Blue Cross Complete (PPO) | H3923-047 | 3 | No | No | Yes |
| Capital Blue Cross Complete (PPO) | H3923-047 | 3 | No | No | Yes |
| Capital Blue Cross Complete (PPO) | H3923-047 | 3 | No | No | Yes |
| Capital Blue Cross Complete (PPO) | H3923-047 | 3 | No | No | Yes |
| Capital Blue Cross Enhanced (PPO) | H3923-046 | 3 | No | No | Yes |
| Capital Blue Cross Enhanced (PPO) | H3923-046 | 3 | No | No | Yes |
| Capital Blue Cross Enhanced (PPO) | H3923-046 | 3 | No | No | Yes |
| Capital Blue Cross Enhanced (PPO) | H3923-046 | 3 | No | No | Yes |
| Capital Blue Cross Prime (PPO) | H3923-017 | 3 | No | No | Yes |
| Capital Blue Cross Select (PPO) | H3923-044 | 3 | No | No | Yes |
| Capital Blue Cross Select (PPO) | H3923-044 | 3 | No | No | Yes |
| Capital Blue Cross Select (PPO) | H3923-044 | 3 | No | No | Yes |
| Capital Blue Cross Select (PPO) | H3923-044 | 3 | No | No | Yes |
| Capital Blue Cross Value (PPO) | H3923-045 | 3 | No | No | Yes |
| Capital Blue Cross Value (PPO) | H3923-045 | 3 | No | No | Yes |
| Capital Blue Cross Value (PPO) | H3923-045 | 3 | No | No | Yes |
| Capital Blue Cross Value (PPO) | H3923-045 | 3 | No | No | Yes |
| Capital Blue Cross Value (PPO) | H3923-045 | 3 | No | No | Yes |
- 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
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.