HumuLIN R U-500 (CONCENTRATED) Subcutaneous

Solution

Insulin

Also known as: HumuLIN R U-500 (CONCENTRATED) Subcutaneous Solution
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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Sep 22, 2026  ·  Checked: 23 hours, 35 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
Source: CMS QHP JSON  ·  Formulary date: Sep 16, 2026  ·  Checked: 23 hours, 35 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Provider Partners North Carolina Advantage Plan (HMO I-SNP) Tier 1 - Preferred Generic — — — None
Provider Partners North Carolina Essential Plan (HMO I-SNP) Tier 1 - Preferred Generic — — — None
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) Tier 1 - Preferred Generic ✓ — — PA
Liberty Medicare Dual Plan (HMO D-SNP) Tier 1 - Preferred Generic ✓ — — PA
PruittHealth Premier (HMO I-SNP) Tier 1 - Preferred Generic ✓ — — PA
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic — — — None
NHC Advantage (HMO I-SNP) Tier 1 - Preferred Generic ✓ — — PA
Provider Partners North Carolina Community Plan (HMO I-SNP) Tier 1 - Preferred Generic — — — None
Troy Medicare (HMO) Tier 3 - Preferred Brand — — — None
Blue Medicare PPO Enhanced (PPO) Tier 3 - Preferred Brand ✓ — — PA
Blue Medicare Essential Plus (HMO-POS) Tier 3 - Preferred Brand ✓ — — PA
Blue Medicare Enhanced (HMO-POS) Tier 3 - Preferred Brand ✓ — — PA
Blue Medicare Choice (HMO) Tier 3 - Preferred Brand ✓ — — PA
Blue Medicare Essential (HMO) Tier 3 - Preferred Brand ✓ — — PA
Senior Care (HMO I-SNP) Tier 3 - Preferred Brand ✓ — — PA
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Tier 3 - Preferred Brand — — — None
Alignment Health NC Duals (HMO-POS D-SNP) Tier 3 - Preferred Brand ✓ — — PA
Alignment Health smartHMO (HMO) Tier 3 - Preferred Brand ✓ — — PA
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 3 - Preferred Brand ✓ — — PA
Alignment Health Platinum Select (HMO) Tier 3 - Preferred Brand ✓ — — PA
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 3 - Preferred Brand ✓ — — PA
Alignment Health AVA (PPO) Tier 3 - Preferred Brand ✓ — — PA
AmeriHealth Caritas VIP Care (HMO D-SNP) Tier 3 - Preferred Brand — — — None
Healthy Blue + Medicare (HMO-POS D-SNP) Tier 3 - Preferred Brand ✓ — — PA
Alignment Health Platinum (HMO) Tier 3 - Preferred Brand ✓ — — PA
HealthTeam Advantage Plan I (PPO) Tier 3 - Preferred Brand — — — None
HealthTeam Advantage Plan II (PPO) Tier 3 - Preferred Brand — — — None
HealthTeam Advantage Vitality Plan (PPO) Tier 3 - Preferred Brand — — — None
Experience Health Medicare Advantage (HMO) Tier 3 - Preferred Brand ✓ — — PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Extra (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Giveback (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED DUAL 009 NC (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED GIVEBACK 002 NC (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Full Dual Care (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
HealthSpring True Choice (PPO) Tier 5 - Specialty — — — None
Aetna Medicare Signature Care (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Prime (HMO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 001 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 002 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 003 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 004 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 005 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 006 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 008 NC (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Dual (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED CORE 001 NC (HMO) Tier 5 - Specialty ✓ — — PA
HealthSpring Preferred (HMO) Tier 5 - Specialty — — — None
HealthSpring TotalCare Plus (HMO D-SNP) Tier 5 - Specialty — — — None
HealthSpring Preferred Select (HMO) Tier 5 - Specialty — — — None
HealthSpring Preferred Savings (HMO) Tier 5 - Specialty — — — None
HealthSpring Preferred Plus (HMO) Tier 5 - Specialty — — — None
DEVOTED CHOICE GIVEBACK 009 NC (PPO) Tier 5 - Specialty ✓ — — PA
HealthSpring TotalCare (HMO D-SNP) Tier 5 - Specialty — — — None
Aetna Medicare Value Plus (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Chronic Care Value (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Chronic Care (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED GIVEBACK 012 NC (HMO) Tier 5 - Specialty ✓ — — PA
DEVOTED DUAL FULL 013 NC (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
Liberty Medicare Advantage (HMO C-SNP) Tier 6 - Specialty Plus ✓ — — PA
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) Tier 6 - Specialty Plus — — — None
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