Benefily
No prior authorization

Does Florida Blue Medicare, INC. require prior authorization for NovoLog Mix?

Florida Blue Medicare, INC. does not require prior authorization for NovoLog Mix 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 aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Pen Injector [NovoLog Mix]97784015 / 150013No prior authorization
insulin aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Injectable Suspension [NovoLog Mix]97784215 / 150013No prior authorization

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

Plan-by-plan detail — 3 ML insulin aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Pen Injector [NovoLog Mix]

NovoLog Mix has 2 products in the corpus; this table is for 3 ML insulin aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Pen Injector [NovoLog Mix], 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)H1035-0403NoNoNo
FHCP Medicare Rx Plus (HMO-POS)H1035-0023NoNoNo
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.

NovoLog Mix at other payers

Or see NovoLog Mix 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.