Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev]
Sensor
RxCUI: 2380268
What the CMS Formulary Data Shows for Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev]
Per the CMS 2026 Part D formulary file, Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev] (RxNorm concept RXCUI 2380268, generic name Sensor) appears on 52 distinct formulary files spanning 472 Medicare Part D plan offerings - 9.3% 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-aabc 100 UNT/ML Pen Injector [Lyumjev] depends on utilization management as much as tier placement: 1.9% of covering formularies require prior authorization. 0% require step therapy. 82.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 3,723 Part D beneficiaries filled Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev] in 2023, with total plan-and-beneficiary spending of $14,719,969 and an average per-beneficiary annual cost of $3,953.79. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev] today.
Coverage Details
- Formularies covering
- 52
- Plans covering
- 472
- Coverage rate
- 9.3%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 1.9% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 82.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 3,723
- Total spending
- $14,719,969
- Avg per beneficiary
- $3,953.79
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev]
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 |
| 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 |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | AZ |
| HealthSpring Alliance (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | AZ |
| HealthSpring Preferred Savings (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | AZ |
| HealthSpring Preferred Full Savings (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | AZ |
| HealthSpring Preferred GA (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | MO |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | MO |
| HealthSpring Premier (HMO-POS) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | UT |
| HealthSpring Preferred (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T3 | No | $0 | NM |
| HealthSpring Preferred (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T3 | No | $0 | OH |
| HealthSpring Preferred (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T3 | No | $0 | KY, OH |
| HealthSpring Preferred Savings (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T3 | No | $0 | OH |
| HealthSpring Preferred Savings (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T3 | No | $0 | KY, OH |
| HealthSpring Preferred (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T3 | No | $0 | CO |
| HealthSpring Preferred (HMO) | BRAVO HEALTH MID-ATLANTIC, INC. | T3 | No | $0 | DC, DE |
| HealthSpring Preferred PA (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | PA |
| HealthSpring Preferred Savings (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T3 | No | $0 | NJ |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | MS |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | WA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | OR, WA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | TX |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | TN |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | AR |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T3 | No | $0 | MS, TN |
Frequently Asked Questions
Is Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev] covered by Medicare Part D?
Yes, Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev] is covered by 472 Medicare Part D plans (9.3% of all Part D formularies).
What tier is Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev] on Medicare Part D plans?
Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev] averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev] require prior authorization?
1.9% of Part D formularies require prior authorization for Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev]. Step therapy: 0%. Quantity limits: 82.7%.
How much does Medicare spend on Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev]?
In 2023, total Medicare Part D spending on Sensor 3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev] was $14,719,969, covering 3,723 beneficiaries. The average spend per beneficiary was $3,953.79.
Read our methodology - how this data is sourced, computed, and verified.