Benefily
No prior authorization

Does Elevance Health (Anthem) require prior authorization for Novolin N?

Elevance Health (Anthem) does not require prior authorization for Novolin N 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 isophane, human 100 UNT/ML Pen Injector [Novolin N]220609967 / 67000No prior authorization
insulin isophane, human 100 UNT/ML Injectable Suspension [Novolin N]31102767 / 67000No prior authorization

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

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

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

PlanContractTierPrior authStep therapyQty limit
Anthem Chronic Care (HMO-POS C-SNP)H3447-0373NoNoNo
Anthem Chronic Care (HMO-POS C-SNP)H3447-0563NoNoNo
Anthem Dual Advantage (HMO D-SNP)H0629-0023NoNoNo
Anthem Dual Advantage (HMO D-SNP)H4694-0023NoNoNo
Anthem Dual Advantage (HMO D-SNP)H5854-0203NoNoNo
Anthem Dual Advantage (PPO D-SNP)H2441-0013NoNoNo
Anthem Dual Advantage (PPO D-SNP)H2836-0073NoNoNo
Anthem Extra Help (HMO-POS)H3447-0243NoNoNo
Anthem Full Dual Advantage (HMO D-SNP)H0629-0013NoNoNo
Anthem Full Dual Advantage (HMO D-SNP)H3447-0183NoNoNo
Anthem Full Dual Advantage (HMO D-SNP)H4694-0043NoNoNo
Anthem Full Dual Advantage (PPO D-SNP)H2836-0063NoNoNo
Anthem Full Dual Advantage 2 (HMO D-SNP)H3447-0533NoNoNo
Anthem Full Dual Advantage 2 (HMO D-SNP)H4694-0013NoNoNo
Anthem Full Dual Advantage Select (HMO D-SNP)H5854-0133NoNoNo
Anthem Full Dual Advantage Support (HMO D-SNP)H4694-0033NoNoNo
Anthem HealthPlus Full Dual Advantage (HMO D-SNP)H8432-0423NoNoNo
Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)H8432-0413NoNoNo
Anthem HealthPlus Full Dual Advantage LTSS 2 (HMO D-SNP)H6988-0043NoNoNo
Anthem I PathWays Dual Care Advantage (HMO D-SNP)H0629-0033NoNoNo
Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP)H0629-0043NoNoNo
Anthem Kidney Care (HMO-POS C-SNP)H3447-0333NoNoNo
Anthem Kidney Care (HMO-POS C-SNP)H5854-0123NoNoNo
Anthem Kidney Care (PPO C-SNP)H8552-0283NoNoNo
Anthem Medicare Advantage (HMO-POS)H3447-0133NoNoNo
Anthem Medicare Advantage (HMO-POS)H3447-0383NoNoNo
Anthem Medicare Advantage (HMO-POS)H3447-0383NoNoNo
Anthem Medicare Advantage (HMO-POS)H3447-0423NoNoNo
Anthem Medicare Advantage (HMO-POS)H3447-0423NoNoNo
Anthem Medicare Advantage (HMO-POS)H3447-0423NoNoNo
Anthem Medicare Advantage (HMO-POS)H3447-0423NoNoNo
Anthem Medicare Advantage (HMO-POS)H8432-0403NoNoNo
Anthem Medicare Advantage (HMO)H5854-0193NoNoNo
Anthem Medicare Advantage (HMO)H5854-0193NoNoNo
Anthem Medicare Advantage (HMO)H8432-0093NoNoNo
Anthem Medicare Advantage (HMO)H8432-0103NoNoNo
Anthem Medicare Advantage (HMO)H8432-0113NoNoNo
Anthem Medicare Advantage (PPO)H4036-0263NoNoNo
Anthem Medicare Advantage (PPO)H4036-0363NoNoNo
Anthem Medicare Advantage (PPO)H4909-0143NoNoNo
Anthem Medicare Advantage (Regional PPO)R5941-0143NoNoNo
Anthem Medicare Advantage (Regional PPO)R5941-0163NoNoNo
Anthem Medicare Advantage 2 (HMO-POS)H3447-0253NoNoNo
Anthem Medicare Advantage 2 (HMO-POS)H6988-0063NoNoNo
Anthem Medicare Advantage 2 (HMO-POS)H6988-0093NoNoNo
Anthem Medicare Advantage 2 (HMO-POS)H6988-0103NoNoNo
Anthem Medicare Advantage 2 (HMO-POS)H7220-0043NoNoNo
Anthem Medicare Advantage 2 (HMO-POS)H8432-0163NoNoNo
Anthem Medicare Advantage 2 (PPO)H1607-0153NoNoNo
Anthem Medicare Advantage 2 (PPO)H4036-0303NoNoNo
Anthem Medicare Advantage 2 (PPO)H4909-0263NoNoNo
Anthem Medicare Advantage 3 (HMO-POS)H3447-0493NoNoNo
Anthem Medicare Advantage 3 (HMO-POS)H3447-0503NoNoNo
Anthem Medicare Advantage 3 (HMO-POS)H3447-0513NoNoNo
Anthem Medicare Advantage 3 (HMO-POS)H3447-0523NoNoNo
Anthem Medicare Advantage 3 (HMO-POS)H6988-0073NoNoNo
Anthem Medicare Advantage 3 (HMO)H7220-0093NoNoNo
Anthem Medicare Advantage 3 (HMO)H7220-0093NoNoNo
Anthem Medicare Advantage 3 (PPO)H1607-0123NoNoNo
Anthem Medicare Advantage 3 (PPO)H4036-0083NoNoNo
Anthem Medicare Advantage 3 (PPO)H4036-0253NoNoNo
Anthem Medicare Advantage 3 (PPO)H4036-0343NoNoNo
Anthem Medicare Advantage 4 (HMO-POS)H3447-0393NoNoNo
Anthem Medicare Advantage 4 (HMO)H7220-0103NoNoNo
Anthem Medicare Advantage 4 (PPO)H4036-0173NoNoNo
Blue MedicareRx Premier (PDP)S2893-0033NoNoNo
Blue MedicareRx Value Plus (PDP)S2893-0013NoNoNo
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 N at other payers

Or see Novolin N 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.