Benefily
No prior authorization

Does Physicians Health Choice Of Texas, LLC require prior authorization for NovoLog?

Physicians Health Choice Of Texas, LLC does not require prior authorization for NovoLog 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 aspart, human 100 UNT/ML Cartridge [NovoLog]165319822 / 22000No prior authorization
3 ML insulin aspart, human 100 UNT/ML Pen Injector [NovoLog]165320422 / 22000No prior authorization
insulin aspart, human 100 UNT/ML Injectable Solution [NovoLog]35192622 / 22000No prior authorization

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

Plan-by-plan detail — 3 ML insulin aspart, human 100 UNT/ML Cartridge [NovoLog]

NovoLog has 3 products in the corpus; this table is for 3 ML insulin aspart, human 100 UNT/ML Cartridge [NovoLog], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)H4527-0533NoNoNo
AARP Medicare Advantage Essentials from UHC TX-11 (HMO-POS)H4527-0013NoNoNo
AARP Medicare Advantage Essentials from UHC TX-12 (HMO-POS)H4527-0023NoNoNo
AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS)H4527-0133NoNoNo
AARP Medicare Advantage Extras from UHC TX-50 (HMO-POS)H4527-0553NoNoNo
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS)H4527-0563NoNoNo
AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS)H4527-0593NoNoNo
AARP Medicare Advantage from UHC TX-0013 (HMO-POS)H4527-0053NoNoNo
AARP Medicare Advantage from UHC TX-0015 (HMO-POS)H4527-0373NoNoNo
AARP Medicare Advantage from UHC TX-0020 (HMO-POS)H4527-0453NoNoNo
AARP Medicare Advantage from UHC TX-46 (HMO-POS)H4527-0523NoNoNo
AARP Medicare Advantage from UHC TX-51 (HMO-POS)H4527-0583NoNoNo
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)H4527-0483NoNoNo
AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)H4527-0513NoNoNo
UHC Complete Care TX-16 (HMO-POS C-SNP)H4527-0393NoNoNo
UHC Complete Care TX-17 (HMO-POS C-SNP)H4527-0403NoNoNo
UHC Complete Care TX-18 (HMO-POS C-SNP)H4527-0413NoNoNo
UHC Complete Care TX-19 (HMO-POS C-SNP)H4527-0423NoNoNo
UHC Dual Complete TX-D003 (HMO-POS D-SNP)H4527-0153NoNoNo
UHC Dual Complete TX-Q2 (HMO-POS D-SNP)H4527-0573NoNoNo
UHC Dual Complete TX-S4 (HMO-POS D-SNP)H4527-0543NoNoNo
UHC Dual Complete TX-V002 (HMO-POS D-SNP)H4527-0033NoNoNo
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.

NovoLog at other payers

Or see NovoLog 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.