FillMapAmeriHealth Caritas Next Silver Essential + No Referrals

Does AmeriHealth Caritas Next Silver Essential + No Referrals cover adalimumab?

AmeriHealth Caritas Next Silver Essential + No Referrals
72760-72760DE0010008-0 · ACA · ACA Marketplace
adalimumab
adalimumabunder AmeriHealth Caritas Next Silver Essential + No Referrals
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$150per 30-day fill

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 (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

← All coverage for adalimumab