Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog]
Sensor
RxCUI: 2621572
What the CMS Formulary Data Shows for Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog]
Per the CMS 2026 Part D formulary file, Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] (RxNorm concept RXCUI 2621572, generic name Sensor) appears on 72 distinct formulary files spanning 607 Medicare Part D plan offerings - 12% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.8.
Real-world access to Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] depends on utilization management as much as tier placement: 1.4% of covering formularies require prior authorization. 0% require step therapy. 65.3% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 156,031 Part D beneficiaries filled Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] in 2023, with total plan-and-beneficiary spending of $458,058,582 and an average per-beneficiary annual cost of $2,935.69. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] today.
Coverage Details
- Formularies covering
- 72
- Plans covering
- 607
- Coverage rate
- 12%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 1.4% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 65.3% of formularies
2023 Medicare Spending
- Beneficiaries
- 156,031
- Total spending
- $458,058,582
- Avg per beneficiary
- $2,935.69
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | HORIZON HEALTHCARE OF NEW JERSEY, INC. | T1 | No | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| CCA One Care (HMO D-SNP) | COMMONWEALTH CARE ALLIANCE, INC. | T1 | No | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | COMMONWEALTH CARE ALLIANCE, INC. | T1 | No | $0 | MA |
| Mass General Brigham SCO (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | HCSC INSURANCE SERVICES COMPANY | T1 | No | $4.80 | TX |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS INSURANCE COMPANY | T1 | No | $5.00 | OK |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T2 | No | $0 | CA |
| Community Blue Medicare HMO Signature (HMO) | Highmark Western and Northeastern New York Inc. | T3 | No | $0 | NY |
| Community Blue Medicare HMO Merit (HMO) | Highmark Western and Northeastern New York Inc. | T3 | No | $0 | NY |
| Community Blue Medicare PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Community Blue Medicare Plus PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Complete Blue PPO Merit (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Complete Blue PPO Distinct (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Community Blue Medicare Plus PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Complete Blue Plus PPO Merit (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Community Blue Medicare PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Complete Blue PPO Merit (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $0 | PA |
| Community Blue Medicare HMO Signature (HMO) | HIGHMARK CHOICE COMPANY | T3 | No | $0 | PA |
| Security Blue HMO-POS ValueRx (HMO-POS) | HIGHMARK CHOICE COMPANY | T3 | No | $0 | PA |
| Community Blue Medicare HMO Signature (HMO) | HIGHMARK CHOICE COMPANY | T3 | No | $0 | PA |
| Together Blue Medicare HMO Signature (HMO) | HIGHMARK CHOICE COMPANY | T3 | No | $0 | PA |
| Community Blue Medicare HMO Distinct (HMO) | HIGHMARK CHOICE COMPANY | T3 | No | $0 | PA |
| Complete Blue HMO Distinct (HMO) | HIGHMARK CHOICE COMPANY | T3 | No | $0 | PA |
| Complete Blue PPO Distinct (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T3 | No | $0 | WV |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T3 | No | $0 | WV |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T3 | No | $0 | WV |
| Complete Blue PPO Merit (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T3 | No | $0 | WV |
| Complete Blue PPO Signature (PPO) | HIGHMARK BCBSD INC. | T3 | No | $0 | DE |
| Medicare BlueEssential (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Medicare BlueActive (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Medicare BlueVital (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T3 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T3 | No | $0 | NY |
| Providence Medicare Extra Part B Only + Rx (HMO) | PROVIDENCE HEALTH ASSURANCE | T3 | No | $0 | OR |
| Providence Medicare Prime + Rx (HMO) | PROVIDENCE HEALTH ASSURANCE | T3 | No | $0 | OR |
| Providence Medicare Dual Plus (HMO D-SNP) | PROVIDENCE HEALTH ASSURANCE | T3 | No | $0 | OR |
| Providence Medicare Timber + Rx (HMO) | PROVIDENCE HEALTH ASSURANCE | T3 | No | $0 | OR, WA |
Frequently Asked Questions
Is Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] covered by Medicare Part D?
Yes, Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] is covered by 607 Medicare Part D plans (12% of all Part D formularies).
What tier is Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] on Medicare Part D plans?
Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] require prior authorization?
1.4% of Part D formularies require prior authorization for Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog]. Step therapy: 0%. Quantity limits: 65.3%.
How much does Medicare spend on Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog]?
In 2023, total Medicare Part D spending on Sensor 3 ML insulin lispro 100 UNT/ML Pen Injector [Humalog] was $458,058,582, covering 156,031 beneficiaries. The average spend per beneficiary was $2,935.69.
Read our methodology - how this data is sourced, computed, and verified.