Does Mmm Healthcare, LLC require prior authorization for Novolin R?
Mmm Healthcare, LLC 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.
- 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R]2206092 | 20 / 20 | 0 | 0 | 20 | No prior authorization |
| insulin, regular, human 100 UNT/ML Injectable Solution [Novolin R]311033 | 0 / 20 | 0 | 0 | 0 | Not on formulary |
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 |
|---|---|---|---|---|---|
| MMM Balance (HMO-POS) | H4004-073 | 4 | No | No | Yes |
| MMM Balance (HMO-POS) | H4004-073 | 4 | No | No | Yes |
| MMM Balance (HMO-POS) | H4004-073 | 4 | No | No | Yes |
| MMM Combo Platino (HMO D-SNP) | H4004-068 | 4 | No | No | Yes |
| MMM Deluxe (HMO-POS) | H4003-055 | 4 | No | No | Yes |
| MMM Diamante Platino (HMO D-SNP) | H4003-017 | 4 | No | No | Yes |
| MMM Dorado Platino (HMO D-SNP) | H4003-058 | 4 | No | No | Yes |
| MMM Elite (HMO-POS) | H4003-034 | 4 | No | No | Yes |
| MMM Flexi Platino (HMO D-SNP) | H4004-069 | 4 | No | No | Yes |
| MMM Grandioso (HMO-POS) | H4004-070 | 4 | No | No | Yes |
| MMM Mega Flex (HMO-POS) | H4004-071 | 4 | No | No | Yes |
| MMM Plenitud (HMO-POS) | H4004-065 | 4 | No | No | Yes |
| MMM Relax Platino (HMO D-SNP) | H4004-072 | 4 | No | No | Yes |
| MMM Relax Platino (HMO D-SNP) | H4004-072 | 4 | No | No | Yes |
| MMM Relax Platino (HMO D-SNP) | H4004-072 | 4 | No | No | Yes |
| MMM Supremo (HMO C-SNP) | H4003-009 | 4 | No | No | Yes |
| MMM Unico (HMO-POS) | H4003-019 | 4 | No | No | Yes |
| MMM Valioso (HMO-POS) | H4004-066 | 4 | No | No | Yes |
| PMC Max (HMO-POS) | H4004-056 | 4 | No | No | Yes |
| PMC Premier Platino (HMO D-SNP) | H4004-048 | 4 | No | No | Yes |
- 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.