Benefily
No prior authorization

Does Mount Carmel Health Plan, INC. require prior authorization for Novolin N?

Mount Carmel Health Plan, INC. does not require prior authorization for Novolin N 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 isophane, human 100 UNT/ML Pen Injector [Novolin N]220609911 / 11000No prior authorization
insulin isophane, human 100 UNT/ML Injectable Suspension [Novolin N]31102711 / 11000No prior authorization

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

Plan-by-plan detail — 3 ML insulin isophane, human 100 UNT/ML Pen Injector [Novolin N]

Novolin N has 2 products in the corpus; this table is for 3 ML insulin isophane, human 100 UNT/ML Pen Injector [Novolin N], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
MercyOne Health Plan Cash Back (HMO)H3668-0313NoNoNo
MercyOne Health Plan No Premium (HMO)H3668-0253NoNoNo
MercyOne Health Plan Plus (HMO)H3668-0263NoNoNo
Mount Carmel MediGold Cash Back (HMO)H3668-0303NoNoNo
Mount Carmel MediGold No Premium (HMO)H3668-0193NoNoNo
Mount Carmel MediGold No Premium (HMO)H3668-0193NoNoNo
Mount Carmel MediGold No Premium (HMO)H3668-0203NoNoNo
Mount Carmel MediGold Plus (HMO)H3668-0223NoNoNo
Mount Carmel MediGold Plus (HMO)H3668-0233NoNoNo
Mount Carmel MediGold Premier (HMO)H3668-0183NoNoNo
Mount Carmel MediGold Premier (HMO)H3668-0183NoNoNo
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 N at other payers

Or see Novolin N 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.