Benefily
Varies by plan

Does Florida Blue Medicare, INC. require prior authorization for Humulin R?

Prior authorization for Humulin R differs across Florida Blue Medicare, INC.'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 productPlans coveringRequire prior authStep therapyQty limitStatus
3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R]173131715 / 150013No prior authorization
insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]31103615 / 150013No prior authorization
insulin, regular, human 500 UNT/ML Injectable Solution [Humulin R]35185915 / 151500Prior authorization required

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

Plan-by-plan detail — 3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R]

Humulin R has 3 products in the corpus; this table is for 3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
BlueMedicare Classic (HMO)H1035-0173NoNoYes
BlueMedicare Classic (HMO)H1035-0193NoNoYes
BlueMedicare Classic (HMO)H1035-0203NoNoYes
BlueMedicare Classic (HMO)H1035-0213NoNoYes
BlueMedicare Preferred (HMO)H1035-0523NoNoYes
BlueMedicare Premier (HMO)H1035-0223NoNoYes
BlueMedicare Premier (HMO)H1035-0253NoNoYes
BlueMedicare Premier (HMO)H1035-0263NoNoYes
BlueMedicare Premier (HMO)H1035-0333NoNoYes
BlueMedicare Premier (HMO)H1035-0343NoNoYes
BlueMedicare Premier (HMO)H1035-0433NoNoYes
BlueMedicare Premier (HMO)H1035-0453NoNoYes
BlueMedicare Premier (HMO)H1035-0483NoNoYes
FHCP Medicare Classic (HMO)H1035-0405NoNoNo
FHCP Medicare Rx Plus (HMO-POS)H1035-0025NoNoNo
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.

Humulin R at other payers

Or see Humulin 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.