HADLIMA 40 mg/.8mL Solution

Also known as Adalimumab-Bwwd. Coverage in Kansas (CMS PDP Region 24).

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

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

37 Medicare Advantage plans in KS 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. KS: 37 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Blue MedicareRx Essentials (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$642.5583	$3,212.795 units	Prior authorization Quantity limit 4.8 per 28 days
Blue MedicareRx Value (PDP)$0.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$643.5463	$3,217.735 units	Prior authorization Quantity limit 4.8 per 28 days
HealthSpring Assurance Rx (PDP)$6.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$618.3092	$3,091.555 units	Prior authorization Quantity limit 4.8 per 28 days
Blue MedicareRx Plus (PDP)$67.40/mo premium · $0.00 deductible	5Specialty Tier	33%	—	$643.5463	$3,217.735 units	Prior authorization Quantity limit 4.8 per 28 days
SilverScript Choice (PDP)$88.30/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$638.3752	$2,553.504 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 →