Medicare Part D coverage · insulin, · RxCUI 311036
insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]
Per the CMS 2026 Part D formulary file, insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] is covered by 2,020 Medicare Part D plans (40% of enrollable products), averaging Tier 2.7, with prior authorization required on 3.4% of covering formularies.
- 40%
- Plan coverage
- 2,020
- Plans covering
- T2.7
- Avg tier
- 3.4%
- Prior auth required
What the CMS Formulary Data Shows for insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]
Per the CMS 2026 Part D formulary file, insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] (RxNorm concept RXCUI 311036, generic name insulin,) appears on 177 distinct formulary files spanning 2,020 Medicare Part D plan offerings - 40% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 7, with a cross-plan average of Tier 2.7.
Real-world access to insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] depends on utilization management as much as tier placement: 3.4% of covering formularies require prior authorization. 0% require step therapy. 29.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 418,431 Part D beneficiaries filled insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] in 2023, with total plan-and-beneficiary spending of $1,208,385,334 and an average per-beneficiary annual cost of $2,887.90. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] today.
Coverage Details
- Formularies covering
- 177
- Plans covering
- 2,020
- Coverage rate
- 40%
- Tier range
- Tier 1 – Tier 7
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 3.4% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 29.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 418,431
- Total spending
- $1,208,385,334
- Avg per beneficiary
- $2,887.90
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | No | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | No | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | No | $0 | NJ |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | No | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | No | $0 | GA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | No | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | No | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | No | $0 | AL |
| Alignment Health the ONE + Walgreens (HMO) | Alignment Health Plan OF Arizona, Inc. | T1 | No | $0 | AZ |
| Alignment Health the ONE + Walgreens (HMO) | Alignment Health Plan OF Arizona, Inc. | T1 | No | $0 | AZ |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan OF Arizona, Inc. | T1 | No | $0 | AZ |
| Alignment Health smartHMO (HMO) | Alignment Health Plan OF Arizona, Inc. | T1 | No | $0 | AZ |
| Alignment Health My Choice (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Platinum + Instacart (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health AllCare Preferred (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Platinum + Instacart (HMO-POS) | Alignment Health Plan | T1 | No | $0 | CA |
Show the next 30 plans
| Alignment Health My Choice (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Harmony (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Balance (HMO C-SNP) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health the ONE (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health the ONE + Walgreens (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health CommUnity (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health smartSavings (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health My Choice Select (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health ValorCare (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health L.A. Premium Giveback (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health S.D. Premium Giveback (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Platinum (HMO) | Alignment Health Plan OF North Carolina, Inc. | T1 | No | $0 | NC |
| Alignment Health NC Duals (HMO-POS D-SNP) | Alignment Health Plan OF North Carolina, Inc. | T1 | No | $0 | NC |
| Alignment Health smartHMO (HMO) | Alignment Health Plan OF North Carolina, Inc. | T1 | No | $0 | NC |
| Alignment Health Platinum + Instacart (HMO) | Alignment Health Plan OF North Carolina, Inc. | T1 | No | $0 | NV |
| Alignment Health smartHMO (HMO) | Alignment Health Plan OF North Carolina, Inc. | T1 | No | $0 | NV |
| Alignment Health Platinum Select (HMO) | Alignment Health Plan OF North Carolina, Inc. | T1 | No | $0 | NC |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan OF North Carolina, Inc. | T1 | No | $0 | NC |
| Alignment Health the ONE + Walgreens (HMO-POS) | Alignment Health Insurance Company OF Arizona Inc | T1 | No | $0 | TX |
| Alignment Health Heart & Diabetes (HMO-POS C-SNP) | Alignment Health Insurance Company OF Arizona Inc | T1 | No | $0 | TX |
| Alignment Health smartHMO (HMO-POS) | Alignment Health Insurance Company OF Arizona Inc | T1 | No | $0 | TX |
| Alignment Health Dual Select+ (HMO-POS D-SNP) | Alignment Health Insurance Company OF Arizona Inc | T1 | No | $0 | TX |
| Alignment Health Total Dual+ (HMO-POS D-SNP) | Alignment Health Insurance Company OF Arizona Inc | T1 | No | $0 | TX |
| Alignment Health smartSavings (HMO-POS) | Alignment Health Insurance Company OF Arizona Inc | T1 | No | $0 | TX |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] covered by Medicare Part D?
Yes, insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] is covered by 2,020 Medicare Part D plans (40% of all Part D formularies).
What tier is insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] on Medicare Part D plans?
insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] averages Tier 2.7 across Part D plans, ranging from Tier 1 to Tier 7.
Does insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] require prior authorization?
3.4% of Part D formularies require prior authorization for insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]. Step therapy: 0%. Quantity limits: 29.9%.
How much does Medicare spend on insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]?
In 2023, total Medicare Part D spending on insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R] was $1,208,385,334, covering 418,431 beneficiaries. The average spend per beneficiary was $2,887.90.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
Similar prior-authorization rate
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