Does Premier Care (HMO I-SNP) cover insulin lispro / insulin lispro protamine, human?
Premier Care (HMO I-SNP)
H9917-004-0 · MA_LOCAL · Medicare Part D
insulin lispro / insulin lispro protamine, human
Do you get help with your Medicare drug costs?None of these
Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.
insulin lispro / insulin lispro protamine, humanunder Premier Care (HMO I-SNP)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$45per 30-day fill
Part D caps what you pay out of pocket at $2,100 for 2026. Before that, you pay the full price until you have paid $450 this year.
This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.
- Tier
- Tier 3
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.
Covered forms and strengths (4)
- 3 ML insulin lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Pen InjectorTier 3
- 3 ML insulin lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Pen Injector [Humalog Mix]Tier 3
- 3 ML insulin lispro 50 UNT/ML / insulin lispro protamine, human 50 UNT/ML Pen Injector [Humalog Mix]Tier 3
- insulin lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Injectable Suspension [Humalog Mix]Tier 3
← All coverage for insulin lispro / insulin lispro protamine, human