Benefily
No prior authorization

Does Cigna require prior authorization for Novolin R?

Cigna 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 productPlans coveringRequire prior authStep therapyQty limitStatus
3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R]2206092171 / 171000No prior authorization
insulin, regular, human 100 UNT/ML Injectable Solution [Novolin R]3110330 / 171000Not 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.

PlanContractTierPrior authStep therapyQty limit
HealthSpring Achieve (HMO C-SNP)H4407-0344NoNoNo
HealthSpring Achieve (HMO C-SNP)H4513-0944NoNoNo
HealthSpring Achieve (HMO C-SNP)H4513-0974NoNoNo
HealthSpring Achieve (HMO C-SNP)H4513-0984NoNoNo
HealthSpring Alliance (HMO)H4513-0644NoNoNo
HealthSpring Preferred (HMO)H0439-0084NoNoNo
HealthSpring Preferred (HMO)H0439-0094NoNoNo
HealthSpring Preferred (HMO)H0439-0104NoNoNo
HealthSpring Preferred (HMO)H0439-0114NoNoNo
HealthSpring Preferred (HMO)H0439-0134NoNoNo
HealthSpring Preferred (HMO)H0439-0154NoNoNo
HealthSpring Preferred (HMO)H0439-0154NoNoNo
HealthSpring Preferred (HMO)H0439-0204NoNoNo
HealthSpring Preferred (HMO)H0672-0054NoNoNo
HealthSpring Preferred (HMO)H0672-0064NoNoNo
HealthSpring Preferred (HMO)H0672-0134NoNoNo
HealthSpring Preferred (HMO)H0672-0244NoNoNo
HealthSpring Preferred (HMO)H4407-0304NoNoNo
HealthSpring Preferred (HMO)H4407-0304NoNoNo
HealthSpring Preferred (HMO)H4407-0304NoNoNo
HealthSpring Preferred (HMO)H4407-0334NoNoNo
HealthSpring Preferred (HMO)H4407-0354NoNoNo
HealthSpring Preferred (HMO)H4513-0264NoNoNo
HealthSpring Preferred (HMO)H4513-0304NoNoNo
HealthSpring Preferred (HMO)H4513-0374NoNoNo
HealthSpring Preferred (HMO)H4513-0384NoNoNo
HealthSpring Preferred (HMO)H4513-0494NoNoNo
HealthSpring Preferred (HMO)H4513-0494NoNoNo
HealthSpring Preferred (HMO)H4513-0494NoNoNo
HealthSpring Preferred (HMO)H4513-0494NoNoNo
HealthSpring Preferred (HMO)H4513-0494NoNoNo
HealthSpring Preferred (HMO)H4513-0504NoNoNo
HealthSpring Preferred (HMO)H4513-0524NoNoNo
HealthSpring Preferred (HMO)H4513-0614NoNoNo
HealthSpring Preferred (HMO)H4513-0614NoNoNo
HealthSpring Preferred (HMO)H4513-0614NoNoNo
HealthSpring Preferred (HMO)H4513-0614NoNoNo
HealthSpring Preferred (HMO)H4513-0614NoNoNo
HealthSpring Preferred (HMO)H4513-0744NoNoNo
HealthSpring Preferred (HMO)H4513-0774NoNoNo
HealthSpring Preferred (HMO)H4513-0774NoNoNo
HealthSpring Preferred (HMO)H4513-0774NoNoNo
HealthSpring Preferred (HMO)H4513-0774NoNoNo
HealthSpring Preferred (HMO)H4513-0854NoNoNo
HealthSpring Preferred (HMO)H5410-0184NoNoNo
HealthSpring Preferred (HMO)H5410-0244NoNoNo
HealthSpring Preferred (HMO)H5410-0594NoNoNo
HealthSpring Preferred (HMO)H5410-0604NoNoNo
HealthSpring Preferred (HMO)H7020-0114NoNoNo
HealthSpring Preferred (HMO)H7020-0114NoNoNo
HealthSpring Preferred (HMO)H7020-0114NoNoNo
HealthSpring Preferred (HMO)H9460-0014NoNoNo
HealthSpring Preferred AL (HMO)H4513-0464NoNoNo
HealthSpring Preferred AL (HMO)H4513-0464NoNoNo
HealthSpring Preferred Full Savings (HMO)H4513-0884NoNoNo
HealthSpring Preferred Full Savings (HMO)H4513-0894NoNoNo
HealthSpring Preferred Full Savings (HMO)H4513-0904NoNoNo
HealthSpring Preferred Full Savings (HMO)H4513-0914NoNoNo
HealthSpring Preferred Full Savings (HMO)H4513-0924NoNoNo
HealthSpring Preferred Full Savings (HMO)H4513-0934NoNoNo
HealthSpring Preferred GA (HMO)H0439-0034NoNoNo
HealthSpring Preferred GA (HMO)H0439-0034NoNoNo
HealthSpring Preferred Plus (HMO)H0439-0064NoNoNo
HealthSpring Preferred Plus (HMO)H4407-0274NoNoNo
HealthSpring Preferred Plus (HMO)H4513-0874NoNoNo
HealthSpring Preferred Plus (HMO)H4513-0874NoNoNo
HealthSpring Preferred Plus (HMO)H4513-0874NoNoNo
HealthSpring Preferred Plus (HMO)H4513-0874NoNoNo
HealthSpring Preferred Savings (HMO)H0439-0164NoNoNo
HealthSpring Preferred Savings (HMO)H0439-0174NoNoNo
HealthSpring Preferred Savings (HMO)H0439-0184NoNoNo
HealthSpring Preferred Savings (HMO)H0439-0194NoNoNo
HealthSpring Preferred Savings (HMO)H0439-0214NoNoNo
HealthSpring Preferred Savings (HMO)H0672-0164NoNoNo
HealthSpring Preferred Savings (HMO)H0672-0174NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0684NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0684NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0684NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0734NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0834NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0834NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0834NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0834NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0834NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0834NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0834NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0864NoNoNo
HealthSpring Preferred Savings (HMO)H4513-0954NoNoNo
HealthSpring Preferred Savings (HMO)H5410-0264NoNoNo
HealthSpring Preferred Savings (HMO)H7020-0104NoNoNo
HealthSpring Preferred Savings (HMO)H7020-0104NoNoNo
HealthSpring Preferred Savings (HMO)H7020-0104NoNoNo
HealthSpring Preferred Savings (HMO)H9460-0034NoNoNo
HealthSpring Premier (HMO-POS)H0439-0244NoNoNo
HealthSpring Premier (HMO-POS)H4513-0364NoNoNo
HealthSpring Premier (HMO-POS)H4513-0844NoNoNo
HealthSpring Premier (HMO-POS)H4513-0964NoNoNo
HealthSpring Primary (HMO)H4513-0354NoNoNo
HealthSpring Primary (HMO)H4513-0534NoNoNo
HealthSpring TotalCare (HMO D-SNP)H0439-0024NoNoNo
Showing 100 of 171 covering plans.
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.