Does Sunshine State Health Plan, INC. require prior authorization for Humulin R?
Sunshine State Health Plan, INC. 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R]1731317 | 24 / 24 | 0 | 0 | 0 | No prior authorization |
| insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]311036 | 0 / 24 | 0 | 0 | 0 | Not on formulary |
| insulin, regular, human 500 UNT/ML Injectable Solution [Humulin R]351859 | 0 / 24 | 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 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.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Wellcare Dual Access Sync (HMO D-SNP) | H1032-240 | 3 | No | No | No |
| Wellcare Dual Access Sync (HMO D-SNP) | H1032-241 | 3 | No | No | No |
| Wellcare Dual Access Sync (HMO D-SNP) | H1032-244 | 3 | No | No | No |
| Wellcare Dual Access Sync (HMO D-SNP) | H1032-244 | 3 | No | No | No |
| Wellcare Dual Reserve (HMO D-SNP) | H1032-202 | 3 | No | No | No |
| Wellcare Giveback (HMO) | H1032-193 | 3 | No | No | No |
| Wellcare Giveback (HMO) | H1032-195 | 3 | No | No | No |
| Wellcare Giveback (HMO) | H1032-198 | 3 | No | No | No |
| Wellcare Giveback (HMO) | H1032-200 | 3 | No | No | No |
| Wellcare Giveback (HMO) | H1032-204 | 3 | No | No | No |
| Wellcare Giveback (HMO) | H1032-210 | 3 | No | No | No |
| Wellcare Giveback (HMO) | H1032-212 | 3 | No | No | No |
| Wellcare Simple (HMO) | H1032-194 | 3 | No | No | No |
| Wellcare Simple (HMO) | H1032-196 | 3 | No | No | No |
| Wellcare Simple (HMO) | H1032-199 | 3 | No | No | No |
| Wellcare Simple (HMO) | H1032-201 | 3 | No | No | No |
| Wellcare Simple (HMO) | H1032-205 | 3 | No | No | No |
| Wellcare Simple (HMO) | H1032-211 | 3 | No | No | No |
| Wellcare Simple (HMO) | H1032-213 | 3 | No | No | No |
| Wellcare Simple (HMO) | H1032-237 | 3 | No | No | No |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) | H1032-242 | 3 | No | No | No |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) | H1032-243 | 3 | No | No | No |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) | H1032-245 | 3 | No | No | No |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) | H1032-245 | 3 | No | No | No |
- 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
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.