Benefily
No prior authorization

Does Humana require prior authorization for Humulin R?

Humana does not require prior authorization for Humulin 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 500 UNT/ML Pen Injector [Humulin R]1731317817 / 817000No prior authorization
insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]3110360 / 817000Not on formulary
insulin, regular, human 500 UNT/ML Injectable Solution [Humulin R]3518590 / 817000Not on formulary

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
Humana Basic Rx Plan (PDP)S5884-1015NoNoNo
Humana Basic Rx Plan (PDP)S5884-1025NoNoNo
Humana Basic Rx Plan (PDP)S5884-1035NoNoNo
Humana Basic Rx Plan (PDP)S5884-1045NoNoNo
Humana Basic Rx Plan (PDP)S5884-1055NoNoNo
Humana Basic Rx Plan (PDP)S5884-1065NoNoNo
Humana Basic Rx Plan (PDP)S5884-1075NoNoNo
Humana Basic Rx Plan (PDP)S5884-1085NoNoNo
Humana Basic Rx Plan (PDP)S5884-1095NoNoNo
Humana Basic Rx Plan (PDP)S5884-1105NoNoNo
Humana Basic Rx Plan (PDP)S5884-1115NoNoNo
Humana Basic Rx Plan (PDP)S5884-1125NoNoNo
Humana Basic Rx Plan (PDP)S5884-1135NoNoNo
Humana Basic Rx Plan (PDP)S5884-1145NoNoNo
Humana Basic Rx Plan (PDP)S5884-1155NoNoNo
Humana Basic Rx Plan (PDP)S5884-1165NoNoNo
Humana Basic Rx Plan (PDP)S5884-1315NoNoNo
Humana Basic Rx Plan (PDP)S5884-1325NoNoNo
Humana Basic Rx Plan (PDP)S5884-1335NoNoNo
Humana Basic Rx Plan (PDP)S5884-1345NoNoNo
Humana Basic Rx Plan (PDP)S5884-1355NoNoNo
Humana Basic Rx Plan (PDP)S5884-1365NoNoNo
Humana Basic Rx Plan (PDP)S5884-1375NoNoNo
Humana Basic Rx Plan (PDP)S5884-1385NoNoNo
Humana Basic Rx Plan (PDP)S5884-1395NoNoNo
Humana Basic Rx Plan (PDP)S5884-1405NoNoNo
Humana Basic Rx Plan (PDP)S5884-1415NoNoNo
Humana Basic Rx Plan (PDP)S5884-1425NoNoNo
Humana Basic Rx Plan (PDP)S5884-1435NoNoNo
Humana Basic Rx Plan (PDP)S5884-1445NoNoNo
Humana Basic Rx Plan (PDP)S5884-1455NoNoNo
Humana Basic Rx Plan (PDP)S5884-1465NoNoNo
Humana Basic Rx Plan (PDP)S5884-1475NoNoNo
Humana Basic Rx Plan (PDP)S5884-2165NoNoNo
Humana Cleveland Clinic Preferred (HMO-POS)H6622-0235NoNoNo
Humana Community (HMO-POS)H4623-0025NoNoNo
Humana Community (HMO)H0292-0015NoNoNo
Humana Community (HMO)H1036-2365NoNoNo
Humana Community (HMO)H1036-3325NoNoNo
Humana Community (HMO)H5178-0025NoNoNo
Humana Community (HMO)H5619-1595NoNoNo
Humana Community HMO Diabetes and Heart (HMO C-SNP)H1036-2345NoNoNo
Humana Community HMO Diabetes and Heart (HMO C-SNP)H1468-0175NoNoNo
Humana Community HMO SNP-DE (HMO D-SNP)H1036-2355NoNoNo
Humana Direct Choice Giveback (PPO)H5216-4065NoNoNo
Humana Direct Choice Giveback (PPO)H5216-4245NoNoNo
Humana Direct Choice Giveback (PPO)H5216-4315NoNoNo
Humana Direct Choice Giveback (PPO)H5216-4525NoNoNo
Humana Direct Choice Giveback (PPO)H5970-0315NoNoNo
Humana Direct Choice Giveback (PPO)H7617-1125NoNoNo
Humana Direct Choice GIveback (PPO)H5970-0325NoNoNo
Humana Dual Fully Integrated (HMO D-SNP)H4329-0015NoNoNo
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)H2875-0015NoNoNo
Humana Dual Fully Integrated H2875-003 (HMO D-SNP)H2875-0035NoNoNo
Humana Dual Integrated (HMO D-SNP)H0963-0015NoNoNo
Humana Dual Integrated (HMO D-SNP)H1036-3395NoNoNo
Humana Dual Integrated (HMO D-SNP)H1036-3405NoNoNo
Humana Dual Integrated (HMO D-SNP)H1036-3415NoNoNo
Humana Dual Integrated (HMO D-SNP)H1396-0015NoNoNo
Humana Dual Select H0028-078 (HMO D-SNP)H0028-0785NoNoNo
Humana Dual Select H0028-079 (HMO D-SNP)H0028-0795NoNoNo
Humana Dual Select H1036-307 (HMO D-SNP)H1036-3075NoNoNo
Humana Dual Select H1036-329 (HMO D-SNP)H1036-3295NoNoNo
Humana Dual Select H1951-056 (HMO D-SNP)H1951-0565NoNoNo
Humana Dual Select H2875-005 (HMO D-SNP)H2875-0055NoNoNo
Humana Dual Select H2875-006 (HMO-POS D-SNP)H2875-0065NoNoNo
Humana Dual Select H4939-002 (HMO-POS D-SNP)H4939-0025NoNoNo
Humana Dual Select H5216-206 (PPO D-SNP)H5216-2065NoNoNo
Humana Dual Select H5216-298 (PPO D-SNP)H5216-2985NoNoNo
Humana Dual Select H5216-361 (PPO D-SNP)H5216-3615NoNoNo
Humana Dual Select H5216-385 (PPO D-SNP)H5216-3855NoNoNo
Humana Dual Select H5525-046 (PPO D-SNP)H5525-0465NoNoNo
Humana Dual Select H5525-072 (PPO D-SNP)H5525-0725NoNoNo
Humana Dual Select H5619-075 (HMO D-SNP)H5619-0755NoNoNo
Humana Dual Select H5619-093 (HMO D-SNP)H5619-0935NoNoNo
Humana Dual Select H5619-126 (HMO-POS D-SNP)H5619-1265NoNoNo
Humana Dual Select H5619-165 (HMO D-SNP)H5619-1655NoNoNo
Humana Dual Select H6622-027 (HMO-POS D-SNP)H6622-0275NoNoNo
Humana Dual Select H7617-039 (PPO D-SNP)H7617-0395NoNoNo
Humana Dual Select H7617-074 (PPO D-SNP)H7617-0745NoNoNo
Humana Dual Select H7617-083 (PPO D-SNP)H7617-0835NoNoNo
Humana Essentials Plus Giveback H0028-063 (HMO)H0028-0635NoNoNo
Humana Essentials Plus Giveback H1036-271 (HMO)H1036-2715NoNoNo
Humana Essentials Plus Giveback H5216-308 (PPO)H5216-3085NoNoNo
Humana Essentials Plus Giveback H5216-358 (PPO)H5216-3585NoNoNo
Humana Essentials Plus Giveback H5216-405 (PPO)H5216-4055NoNoNo
Humana Essentials Plus Giveback H5216-429 (PPO)H5216-4295NoNoNo
Humana Essentials Plus Giveback H5216-430 (PPO)H5216-4305NoNoNo
Humana Essentials Plus Giveback H5216-435 (PPO)H5216-4355NoNoNo
Humana Essentials Plus Giveback H5216-435 (PPO)H5216-4355NoNoNo
Humana Essentials Plus Giveback H5216-435 (PPO)H5216-4355NoNoNo
Humana Essentials Plus Giveback H7617-017 (PPO)H7617-0175NoNoNo
Humana Essentials Plus Giveback H7617-024 (PPO)H7617-0245NoNoNo
Humana Essentials Plus Giveback H7617-035 (PPO)H7617-0355NoNoNo
Humana Essentials Plus Giveback H7617-100 (PPO)H7617-1005NoNoNo
Humana FMOL Baton Rouge H1951-053 (HMO)H1951-0535NoNoNo
Humana Full Access Giveback H5216-306 (PPO)H5216-3065NoNoNo
Humana Full Access Giveback H5216-311 (PPO)H5216-3115NoNoNo
Humana Full Access Giveback H5216-393 (PPO)H5216-3935NoNoNo
Humana Full Access Giveback H7617-058 (PPO)H7617-0585NoNoNo
Showing 100 of 817 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.

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.