YUFLYMA Kit

Also known as Adalimumab-Aaty. Coverage in Idaho and Utah (CMS PDP Region 31).

2 of 10 stand-alone Part D plans in Idaho and Utah 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 Value Script (PDP)$9.60/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$906.0959	$453.050.5 units	Prior authorization Quantity limit 3 per 180 days
Wellcare Classic (PDP)$23.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$906.0959	$453.050.5 units	Prior authorization Quantity limit 3 per 180 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 →