HADLIMA 40 mg/.8mL Solution

Also known as Adalimumab-Bwwd. Coverage in Illinois (CMS PDP Region 17).

5 of 12 stand-alone Part D plans in Illinois cover this drug on tier 5.

5 of 5 plans apply a prior authorization, step therapy or quantity limit.

84 Medicare Advantage plans in IL 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. IL: 84 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)$66.60/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$611.5200	$3,057.605 units	Prior authorization Quantity limit 4.8 per 28 days
Blue Cross MedicareRx Basic (PDP)$89.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$651.1700	$3,255.855 units	Prior authorization Quantity limit 4.8 per 28 days
SilverScript Choice (PDP)$94.90/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$638.3752	$2,553.504 units	Prior authorization Quantity limit 44.8 per 365 days
HealthSpring Assurance Rx (PDP)$104.20/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$610.9000	$3,054.505 units	Prior authorization Quantity limit 4.8 per 28 days
Blue Cross MedicareRx Value (PDP)$119.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$651.1700	$3,255.855 units	Prior authorization Quantity limit 4.8 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 →