Benefily
No prior authorization

Does UnitedHealthcare require prior authorization for NovoLog Mix?

UnitedHealthcare does not require prior authorization for NovoLog 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
3 ML insulin aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Pen Injector [NovoLog Mix]97784039 / 731000No prior authorization
insulin aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Injectable Suspension [NovoLog Mix]97784239 / 731000No prior authorization

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

Plan-by-plan detail — 3 ML insulin aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Pen Injector [NovoLog Mix]

NovoLog Mix has 2 products in the corpus; this table is for 3 ML insulin aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Pen Injector [NovoLog Mix], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
AARP Medicare Rx Preferred from UHC (PDP)S5820-0343NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5820-0353NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5820-0363NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5820-0373NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5820-0383NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3823NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3833NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3843NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3853NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3863NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3873NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3883NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3893NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3903NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3913NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3923NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3933NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3943NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3953NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3963NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3973NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3983NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-3993NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4003NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4013NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4023NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4033NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4043NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4053NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4063NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4073NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4083NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4093NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4103NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4113NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4123NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4133NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4143NoNoNo
AARP Medicare Rx Preferred from UHC (PDP)S5921-4153NoNoNo
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 Mix at other payers

Or see NovoLog 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.