Benefily
No prior authorization

Does Ultimate Health Plans, INC. require prior authorization for Humulin R?

Ultimate Health Plans, 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.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R]173131716 / 16000No prior authorization
insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]31103616 / 16000No prior authorization
insulin, regular, human 500 UNT/ML Injectable Solution [Humulin R]35185916 / 16000No prior authorization

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.

PlanContractTierPrior authStep therapyQty limit
Advantage Care by Ultimate (HMO C-SNP)H2962-0216NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0266NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0296NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0336NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0506NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0516NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0526NoNoNo
Advantage Care COPD by Ultimate (HMO C-SNP)H2962-0236NoNoNo
Advantage Care COPD by Ultimate (HMO C-SNP)H2962-0256NoNoNo
Advantage Plus by Ultimate (Full) (HMO D-SNP)H2962-0353NoNoNo
Advantage Plus by Ultimate (Partial) (HMO D-SNP)H2962-0363NoNoNo
Premier by Ultimate (HMO)H2962-0013NoNoNo
Premier by Ultimate (HMO)H2962-0283NoNoNo
Premier by Ultimate (HMO)H2962-0453NoNoNo
Premier by Ultimate (HMO)H2962-0463NoNoNo
Premier by Ultimate (HMO)H2962-0473NoNoNo
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.

Humulin R at other payers

Or see Humulin R 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.