Does AmeriHealth Caritas Next Gold Signature + No Referrals cover adalimumab?
AmeriHealth Caritas Next Gold Signature + No Referrals
38246-38246LA0010004-0 · ACA · ACA Marketplace
adalimumab
adalimumabunder AmeriHealth Caritas Next Gold Signature + No Referrals
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$100per 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
- 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 (34)
- {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-aaty 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
- 0.2 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Approval 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 100 MG/ML Prefilled Syringe [Humira]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 100 MG/ML Prefilled Syringe [Humira]Approval first
- 0.8 ML adalimumab 50 MG/ML Prefilled Syringe [Humira]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