Benefily
No prior authorization

Does Tufts Associated Health Maintenance Organization require prior authorization for Humalog Mix?

Tufts Associated Health Maintenance Organization does not require prior authorization for Humalog Mix 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
insulin lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Injectable Suspension [Humalog Mix]75238821 / 21000No prior authorization
3 ML insulin lispro 50 UNT/ML / insulin lispro protamine, human 50 UNT/ML Pen Injector [Humalog Mix]84721321 / 21000No prior authorization
3 ML insulin lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Pen Injector [Humalog Mix]84725421 / 21000No prior authorization

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

Plan-by-plan detail — insulin lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Injectable Suspension [Humalog Mix]

Humalog Mix has 3 products in the corpus; this table is for insulin lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Injectable Suspension [Humalog Mix], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Tufts Health Plan Senior Care Options (HMO D-SNP)H8330-0011NoNoNo
Tufts Health Plan Senior Care Options CW (HMO D-SNP)H8330-0021NoNoNo
Tufts Medicare Preferred HMO Basic Rx (HMO)H2256-0263NoNoNo
Tufts Medicare Preferred HMO Basic Rx (HMO)H2256-0263NoNoNo
Tufts Medicare Preferred HMO Basic Rx (HMO)H2256-0263NoNoNo
Tufts Medicare Preferred HMO Basic Rx (HMO)H2256-0363NoNoNo
Tufts Medicare Preferred HMO Prime Rx (HMO)H2256-0153NoNoNo
Tufts Medicare Preferred HMO Prime Rx (HMO)H2256-0153NoNoNo
Tufts Medicare Preferred HMO Prime Rx (HMO)H2256-0153NoNoNo
Tufts Medicare Preferred HMO Prime Rx (HMO)H2256-0333NoNoNo
Tufts Medicare Preferred HMO Prime Rx Plus (HMO)H2256-0013NoNoNo
Tufts Medicare Preferred HMO Prime Rx Plus (HMO)H2256-0013NoNoNo
Tufts Medicare Preferred HMO Prime Rx Plus (HMO)H2256-0013NoNoNo
Tufts Medicare Preferred HMO Smart Saver Rx (HMO)H2256-0463NoNoNo
Tufts Medicare Preferred HMO Value Rx (HMO)H2256-0183NoNoNo
Tufts Medicare Preferred HMO Value Rx (HMO)H2256-0183NoNoNo
Tufts Medicare Preferred HMO Value Rx (HMO)H2256-0183NoNoNo
Tufts Medicare Preferred HMO Value Rx (HMO)H2256-0343NoNoNo
Tufts Medicare Preferred PPO RX (PPO)H9907-0023NoNoNo
Tufts Medicare Preferred PPO RX (PPO)H9907-0023NoNoNo
Tufts Medicare Preferred PPO RX (PPO)H9907-0023NoNoNo
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.

Humalog Mix at other payers

Or see Humalog Mix 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.