FillMapGold 22 Health · 13887-13887FL0010001-0About this plan

Does Gold 22 Health cover adalimumab?

1 · Your plan

Gold 22 Health

13887-13887FL0010001-0 · ACA · ACA Marketplace

2 · Your medication

adalimumab

adalimumabunder Gold 22 Health

Covered — requires prior authorization

Your plan has to approve it first — your doctor’s office handles it.

What you'd pay

$250per 30-day fill

From the first fill — no deductible on this drug.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

Tier: Specialty drugs
Approval first: Required
Try another first: No
Amount limit: None

Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (25)

{1 (0.4 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]) / 1 (0.8 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]) } Pack [Humira Pediatric Crohn's Disease Starter Package (2 count)]Approval first
{2 (0.4 ML adalimumab 100 MG/ML Auto-Injector [Humira]) / 1 (0.8 ML adalimumab 100 MG/ML Auto-Injector [Humira]) } Pack [Humira Pen 80 MG/0.8 ML and 40 MG/0.4 ML - Psoriasis/Uveitis Starter Package]Approval first
{3 (0.8 ML adalimumab 100 MG/ML Auto-Injector [Humira]) } Pack [Humira Pen 80 MG/0.8 ML - Starter Package for Crohn's Disease, Ulcerative Colitis or Hidradenitis Suppurativa]Approval first
{3 (0.8 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]) } Pack [Humira Prefilled Syringe 80 MG/0.8 ML Starter Pack - Pediatric Crohn's Disease]Approval first
{3 (0.8 ML adalimumab-adaz 100 MG/ML Auto-Injector) } PackApproval first
{4 (0.8 ML adalimumab 100 MG/ML Auto-Injector [Humira]) } Pack [Humira Pen 80 MG/0.8 ML - Starter Package for Pediatric Ulcerative Colitis]Approval first
{4 (0.8 ML adalimumab 50 MG/ML Auto-Injector [Humira]) } Pack [Humira Pen - Psoriasis Starter Pack]Approval first
{6 (0.8 ML adalimumab 50 MG/ML Auto-Injector [Humira]) } Pack [Humira Pen - Crohn's Disease Starter Pack]Approval first
0.1 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Approval first
0.1 ML adalimumab-adaz 100 MG/ML Prefilled SyringeApproval first
0.2 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Approval first
0.2 ML adalimumab-adaz 100 MG/ML Prefilled SyringeApproval first
0.2 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]Approval first
0.4 ML adalimumab 100 MG/ML Auto-Injector [Humira]Approval first
0.4 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Approval first
0.4 ML adalimumab-adaz 100 MG/ML Auto-InjectorApproval first
0.4 ML adalimumab-adaz 100 MG/ML Prefilled SyringeApproval first
0.4 ML adalimumab-ryvk 100 MG/ML Auto-Injector [Simlandi]Approval first
0.4 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]Approval first
0.8 ML adalimumab 100 MG/ML Auto-Injector [Humira]Approval first
0.8 ML adalimumab 50 MG/ML Auto-Injector [Humira]Approval first
0.8 ML adalimumab 50 MG/ML Prefilled Syringe [Humira]Approval first
0.8 ML adalimumab-adaz 100 MG/ML Auto-InjectorApproval first
0.8 ML adalimumab-ryvk 100 MG/ML Auto-Injector [Simlandi]Approval first
0.8 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]Approval first

← All coverage for adalimumab