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Does Medicare Part D cover Humalog Mix?

Humalog Mix appears on the Medicare Part D formularies of 164 payers in the corpus. 1 require prior authorization on every covering plan, 0 on some plans, and 163 on none.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStatus
UnitedHealthcare7310No prior authorization
Blue Cross Blue Shield (affiliate)1990No prior authorization
Cigna1710No prior authorization
SCAN Health Plan740No prior authorization
Alignment Healthcare670No prior authorization
Uhc Of California400No prior authorization
Priority Health370No prior authorization
Bravo Health Pennsylvania, INC.350No prior authorization
Preferred Care Partners, INC.350No prior authorization
Health Care Service Corporation310No prior authorization
Solis Health Plans, INC.240No prior authorization
Capital Advantage Insurance Company230No prior authorization
Physicians Health Choice Of Texas, LLC220No prior authorization
Tufts Associated Health Maintenance Organization210No prior authorization
Mmm Healthcare, LLC200No prior authorization
Mcs Advantage, INC.200No prior authorization
Hcsc Insurance Services Company180No prior authorization
California Physicians' Service170No prior authorization
Medica Health Plans170No prior authorization
Ultimate Health Plans, INC.160No prior authorization
Excellus Health Plan, INC.160No prior authorization
Medical Mutual Of Ohio160No prior authorization
Blue Care Network Of Michigan150No prior authorization
Selecthealth, INC.140No prior authorization
Florida Blue Medicare, INC.130No prior authorization
Peoples Health, INC.130No prior authorization
Health Insurance Plan Of Greater New York100No prior authorization
Quartz Health Plan Corporation100No prior authorization
Sanford Health Plan90No prior authorization
Healthier New Jersey Insurance Company80No prior authorization
Keystone Health Plan East, INC.80No prior authorization
Network Health Insurance Corporation88Prior authorization required
Fallon Community Health Plan80No prior authorization
Peak Health Insurance Corporation80No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care80No prior authorization
Bravo Health Mid-Atlantic, INC.70No prior authorization
Medica Insurance Company70No prior authorization
Keystone Health Plan Central, INC.70No prior authorization
Clover Health70No prior authorization
Essence Healthcare PPO, INC.70No prior authorization
Bluecross And Blueshield Of South Carolina70No prior authorization
Providence Health Assurance70No prior authorization
Mass General Brigham Health Plan, INC60No prior authorization
Essence Healthcare, INC.60No prior authorization
Hometown Health Plan, INC.60No prior authorization
Presbyterian Health Plan60No prior authorization
Perennial Advantage Of Colorado, INC.60No prior authorization
Preferred Care Network, INC.60No prior authorization
Scott And White Health Plan60No prior authorization
Sapphire Edge, INC.50No prior authorization
Independent Health Association, INC.50No prior authorization
Aetna (CVS Health)50No prior authorization
Priority Health Choice, INC.50No prior authorization
Baylor Scott & White Insurance Company40No prior authorization
Care N' Care Insurance Company Of North Carolina40No prior authorization
Health New England, INC.40No prior authorization
The Health Plan Of West Virginia, INC.40No prior authorization
Communitycare Government Programs, INC.40No prior authorization
Qcc Insurance Company40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Capital Health Plan40No prior authorization
Boston Medical Center Health Plan, INC.40No prior authorization
Bluecross Blueshield Kansas Solutions, INC.40No prior authorization
Ghs Insurance Company40No prior authorization
Thp Insurance Company40No prior authorization
Dean Health Plan, INC.40No prior authorization
Quartz Health Plan Mn Corporation40No prior authorization
Medisun, INC.30No prior authorization
Eternalhealth, INC.30No prior authorization
Patrius Health, INC.30No prior authorization
Marquis Advantage, INC.30No prior authorization
Secur INC30No prior authorization
Align Senior Care California INC.30No prior authorization
Pruitthealth Premier, INC.30No prior authorization
Capital District Physicians' Health Plan, INC.30No prior authorization
Procare Advantage, LLC30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Aultcare Health Insuring Corporation30No prior authorization
Simpra Advantage, INC.30No prior authorization
Provider Partners Health Plan Of Pennsylvania, INC30No prior authorization
Provider Partners Health Plan Of North Carolina30No prior authorization
Provider Partners Health Plan Of Indiana30No prior authorization
Amerihealth Insurance Company Of New Jersey30No prior authorization
Liberty Advantage, LLC30No prior authorization
Central Mass Health, LLC30No prior authorization
Perennial Advantage Of Ohio, INC.30No prior authorization
Provider Partners Health Plan Of Missouri, INC.30No prior authorization
Hamaspik, INC.20No prior authorization
Arizona Physicians Ipa, INC.20No prior authorization
Ks Plan Administrators, LLC20No prior authorization
Carepartners Of Connecticut, INC.20No prior authorization
Amerihealth Caritas Vip Next, INC.20No prior authorization
Beshp, INC.20No prior authorization
Commonwealth Care Alliance, INC.20No prior authorization
Lifeworks Advantage, LLC20No prior authorization
Kansas Superior Select, INC.20No prior authorization
South Country Health Alliance20No prior authorization
Sentara Health Plans20No prior authorization
Sanford Health Plan Of Minnesota20No prior authorization
Nhc Advantage, LLC20No prior authorization
Vista Health Plan, INC.20No prior authorization
American Health Plan Of Ut, INC.20No prior authorization
American Health Plan Of Missouri, INC.20No prior authorization
Troy Health, INC.20No prior authorization
Banner - University Care Advantage20No prior authorization
Tufts Health Public Plans, INC.20No prior authorization
Community Health Plan Of Washington20No prior authorization
Nextblue Of North Dakota Insurance Company20No prior authorization
Pruitthealth Premier North Carolina, LLC20No prior authorization
American Health Plan Of Iowa INC20No prior authorization
Elderserve Health, INC.20No prior authorization
Align Senior Care Mi, LLC20No prior authorization
Isnp Ventures, LLC20No prior authorization
Memorial Hermann Health Plan20No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.20No prior authorization
Excellus Health Plan Community Care LLC20No prior authorization
Group Health Cooperative Of Eau Claire20No prior authorization
Georgia Assurance, INC.20No prior authorization
Caresource Georgia CO.20No prior authorization
Wyoblue Advantage INC20No prior authorization
Community Health Choice Texas, INC.20No prior authorization
Align Senior Care Florida, INC.20No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp20No prior authorization
Hm Health Insurance Company20No prior authorization
Horizon Insurance Company20No prior authorization
Longevity Health Plan Of Colorado, INC.10No prior authorization
Local Initiative Health Authority For La County10No prior authorization
Longevity Health Plan Of Florida, INC.10No prior authorization
Community Care Health Plan, INC.10No prior authorization
Alameda Alliance For Health10No prior authorization
HMO Minnesota10No prior authorization
Amerihealth Caritas Louisiana, INC.10No prior authorization
Upper Peninsula Health Plan, LLC10No prior authorization
Independent Health Benefits Corporation10No prior authorization
Oklahoma Superior Select, INC.10No prior authorization
Provider Partners Health Plan Of Illinois10No prior authorization
Ghs Health Maintenance Organization, INC.10No prior authorization
Provider Partners Health Plan Of Texas, INC.10No prior authorization
Hap Caresource10No prior authorization
Select Health Of South Carolina, INC.10No prior authorization
Contra Costa County Medical Service Dba Contra Costa Health10No prior authorization
Longevity Health Plan Of North Carolina, INC.10No prior authorization
Orange County Health Authority10No prior authorization
Banner Health Plan, INC.10No prior authorization
Alohacare10No prior authorization
San Mateo Health Commission10No prior authorization
Amerihealth Michigan, INC.10No prior authorization
Amerihealth Caritas Florida, INC.10No prior authorization
Caresource Ohio, INC.10No prior authorization
Lagniappe Advantage Insurance Company10No prior authorization
American Health Plan Of Fl, INC.10No prior authorization
Provider Partners Health Plan Of Kentucky10No prior authorization
Longevity Health Plan Of Michigan, INC.10No prior authorization
American Health Plan, INC.10No prior authorization
Amerihealth Caritas North Carolina, INC.10No prior authorization
Horizon Healthcare Of New Jersey, INC.10No prior authorization
Longevity Health Plan Of New York, INC.10No prior authorization
Dignity Care Corporation10No prior authorization
Healthy Mississippi, INC.10No prior authorization
Longevity Health Plan Of Illinois, INC.10No prior authorization
Ventura County Medi-Cal Managed Care Commission10No prior authorization
American Health Plan Of Indiana INC10No prior authorization
American Health Plan Of Ms, INC.10No prior authorization
American Health Plan Of Pennsylvania INC10No prior authorization

“Require prior auth” counts a plan when any Humalog Mix product on its formulary needs authorization.

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.

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.