HADLIMA 40 mg/.8mL Solution

Also known as Adalimumab-Bwwd. Coverage in Missouri (CMS PDP Region 18).

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

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

69 Medicare Advantage plans in MO 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. MO: 69 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
HealthSpring Extra Rx (PDP)$70.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$618.2257	$3,091.135 units	Prior authorization Quantity limit 4.8 per 28 days
HealthSpring Assurance Rx (PDP)$74.30/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$618.3092	$3,091.555 units	Prior authorization Quantity limit 4.8 per 28 days
SilverScript Choice (PDP)$94.90/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$674.8471	$2,699.394 units	Prior authorization Quantity limit 44.8 per 365 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 →