ADALIMUMAB 20 mg/.2mL Injection, Solution

Also known as Adalimumab-Adaz. Coverage in Colorado (CMS PDP Region 27).

3 of 10 stand-alone Part D plans in Colorado cover this drug on tier 5.

3 of 3 plans apply a prior authorization, step therapy or quantity limit.

17 Medicare Advantage plans in CO do cover it

Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. CO: 17 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$3299.8274	$3,299.831 unit	Prior authorization Quantity limit 1.2 per 28 days
Humana Value Rx Plan (PDP)$48.50/mo premium · $601.00 deductible	5Specialty Tier	26%	—	$3299.8274	$3,299.831 unit	Prior authorization Quantity limit 1.2 per 28 days
Humana Premier Rx Plan (PDP)$137.10/mo premium · $0.00 deductible	5Specialty Tier	33%	—	$3299.8274	$3,299.831 unit	Prior authorization Quantity limit 1.2 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 →