FillMapAmeriHealth Caritas Next Gold Premier + No Referrals

Does AmeriHealth Caritas Next Gold Premier + No Referrals cover adalimumab?

AmeriHealth Caritas Next Gold Premier + No Referrals
67926-67926FL0010009-0 · ACA · ACA Marketplace
adalimumab
adalimumabunder AmeriHealth Caritas Next Gold Premier + No Referrals
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
50%of the price your plan negotiates

Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. Your plan’s deductible comes first — you pay the full price until it is met.

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
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.

Covered forms and strengths (22)

  • {3 (0.8 ML adalimumab-aaty 100 MG/ML Auto-Injector) } PackApproval first
  • 0.2 ML adalimumab-aaty 100 MG/ML Prefilled SyringeApproval first
  • 0.2 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]Approval first
  • 0.4 ML adalimumab-aaty 100 MG/ML Auto-InjectorApproval first
  • 0.4 ML adalimumab-aaty 100 MG/ML Prefilled SyringeApproval first
  • 0.4 ML adalimumab-afzb 50 MG/ML Prefilled Syringe [Abrilada]Approval first
  • 0.4 ML adalimumab-bwwd 100 MG/ML Auto-Injector [Hadlima]Approval first
  • 0.4 ML adalimumab-bwwd 100 MG/ML Prefilled Syringe [Hadlima]Approval first
  • 0.4 ML adalimumab-fkjp 50 MG/ML Prefilled SyringeApproval first
  • 0.4 ML adalimumab-fkjp 50 MG/ML Prefilled Syringe [Hulio]Approval 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-aaty 100 MG/ML Auto-InjectorApproval first
  • 0.8 ML adalimumab-afzb 50 MG/ML Auto-Injector [Abrilada]Approval first
  • 0.8 ML adalimumab-afzb 50 MG/ML Prefilled Syringe [Abrilada]Approval first
  • 0.8 ML adalimumab-aqvh 50 MG/ML Auto-Injector [Yusimry]Approval first
  • 0.8 ML adalimumab-bwwd 50 MG/ML Auto-Injector [Hadlima]Approval first
  • 0.8 ML adalimumab-bwwd 50 MG/ML Prefilled Syringe [Hadlima]Approval first
  • 0.8 ML adalimumab-fkjp 50 MG/ML Auto-InjectorApproval first
  • 0.8 ML adalimumab-fkjp 50 MG/ML Prefilled SyringeApproval 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