A non-government resource built from CMS public data

CYLTEZO Kit

Also known as Adalimumab-Adbm. Coverage in Alaska (CMS PDP Region 34).

2 of 9 stand-alone Part D plans in Alaska cover this drug on tier 5.

2 of 2 plans apply a prior authorization, step therapy or quantity limit.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible · $0 with full Extra Help	5Specialty Tier	25%	—	$2998.8900	$11,995.564 units	Prior authorization Quantity limit 4 per 28 days
Wellcare Value Script (PDP)$19.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$2998.8900	$11,995.564 units	Prior authorization Quantity limit 4 per 28 days

Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.

See coverage in all 39 regions →