Does Freedom Health, INC. require prior authorization for Novolin R?
Freedom Health, INC. 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.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R]2206092 | 24 / 24 | 0 | 0 | 0 | No prior authorization |
| insulin, regular, human 100 UNT/ML Injectable Solution [Novolin R]311033 | 24 / 24 | 0 | 0 | 0 | No prior authorization |
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.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Freedom Medi-Medi Full (HMO D-SNP) | H5427-087 | 2 | No | No | No |
| Freedom Medi-Medi Partial (HMO D-SNP) | H5427-078 | 2 | No | No | No |
| Freedom Medicare Plan Rx (HMO) | H5427-059 | 2 | No | No | No |
| Freedom Medicare Plan Rx (HMO) | H5427-060 | 2 | No | No | No |
| Freedom M�ximo (HMO-POS) | H5427-112 | 2 | No | No | No |
| Freedom M�ximo (HMO-POS) | H5427-113 | 2 | No | No | No |
| Freedom Platinum Plan Rx (HMO) | H5427-088 | 2 | No | No | No |
| Freedom Platinum Plan Rx (HMO) | H5427-089 | 2 | No | No | No |
| Freedom Platinum Plan Rx (HMO) | H5427-091 | 2 | No | No | No |
| Freedom Platinum Plan Rx (HMO) | H5427-093 | 2 | No | No | No |
| Freedom Platinum Plan Rx (HMO) | H5427-094 | 2 | No | No | No |
| Freedom Platinum Rewards Plan Rx (HMO) | H5427-096 | 2 | No | No | No |
| Freedom Platinum Rewards Plan Rx (HMO) | H5427-102 | 2 | No | No | No |
| Freedom Platinum Rewards Plan Rx (HMO) | H5427-103 | 2 | No | No | No |
| Freedom Platinum Rewards Plan Rx (HMO) | H5427-105 | 2 | No | No | No |
| Freedom Platinum Rewards Plan Rx (HMO) | H5427-106 | 2 | No | No | No |
| Freedom Platinum Rewards Plan Rx (HMO) | H5427-107 | 2 | No | No | No |
| Freedom VIP Care (HMO C-SNP) | H5427-070 | 5 | No | No | No |
| Freedom VIP Rewards (HMO C-SNP) | H5427-099 | 5 | No | No | No |
| Freedom VIP Rewards (HMO C-SNP) | H5427-108 | 5 | No | No | No |
| Freedom VIP Savings (HMO C-SNP) | H5427-072 | 5 | No | No | No |
| Freedom VIP Savings (HMO C-SNP) | H5427-082 | 5 | No | No | No |
| Freedom VIP Savings COPD (HMO C-SNP) | H5427-077 | 2 | No | No | No |
| Freedom VIP Savings COPD (HMO C-SNP) | H5427-083 | 2 | No | No | No |
- 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
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.