Benefily
No prior authorization

Does Medica Insurance Company require prior authorization for Novolin R?

Medica Insurance Company 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 productPlans coveringRequire prior authStep therapyQty limitStatus
3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R]22060927 / 7000No prior authorization
insulin, regular, human 100 UNT/ML Injectable Solution [Novolin R]3110337 / 7000No 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.

PlanContractTierPrior authStep therapyQty limit
Medica Prime Solution Basic w/Rx (Cost)H2450-0163NoNoNo
Medica Prime Solution Core w/Rx (Cost)H2450-0353NoNoNo
Medica Prime Solution Enhanced w/Rx 2 (Cost)H2450-0023NoNoNo
Medica Prime Solution Focus w/Rx (Cost)H2450-0393NoNoNo
Medica Prime Solution Premier w/Rx (Cost)H2450-0373NoNoNo
Medica Prime Solution Standard w/Rx (Cost)H2450-0493NoNoNo
Medica Prime Solution Thrift w/Rx (Cost)H2450-0073NoNoNo
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 R at other payers

Or see Novolin 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.