FillMapBlue KC Catastrophic BlueSelect EPO · 94248-94248KS0560012-0About this plan

Does Blue KC Catastrophic BlueSelect EPO cover adalimumab?

1 · Your plan

Blue KC Catastrophic BlueSelect EPO

94248-94248KS0560012-0 · ACA · ACA Marketplace

2 · Your medication

adalimumab

adalimumabunder Blue KC Catastrophic BlueSelect EPO

Covered — requires prior authorization

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

What you'd pay

$0per 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.

Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.

Tier: Specialty
Approval first: Required
Try another first: No
Amount limit: Yes

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 (19)

{4 (0.4 ML adalimumab-adbm 100 MG/ML Auto-Injector) } PackApproval firstAmount limit
{4 (0.8 ML adalimumab-adbm 50 MG/ML Auto-Injector) } PackApproval firstAmount limit
{6 (0.4 ML adalimumab-adbm 100 MG/ML Auto-Injector) } PackApproval firstAmount limit
{6 (0.8 ML adalimumab-adbm 50 MG/ML Auto-Injector) } PackApproval firstAmount limit
0.2 ML adalimumab-adbm 50 MG/ML Prefilled SyringeApproval firstAmount limit
0.2 ML adalimumab-atto 100 MG/ML Prefilled Syringe [Amjevita]Approval firstAmount limit
0.2 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]Approval firstAmount limit
0.4 ML adalimumab-adbm 100 MG/ML Auto-InjectorApproval firstAmount limit
0.4 ML adalimumab-adbm 100 MG/ML Prefilled SyringeApproval firstAmount limit
0.4 ML adalimumab-adbm 50 MG/ML Prefilled SyringeApproval firstAmount limit
0.4 ML adalimumab-atto 100 MG/ML Auto-Injector [Amjevita]Approval firstAmount limit
0.4 ML adalimumab-atto 100 MG/ML Prefilled Syringe [Amjevita]Approval firstAmount limit
0.4 ML adalimumab-ryvk 100 MG/ML Auto-Injector [Simlandi]Approval firstAmount limit
0.4 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]Approval firstAmount limit
0.8 ML adalimumab-adbm 50 MG/ML Auto-InjectorApproval firstAmount limit
0.8 ML adalimumab-adbm 50 MG/ML Prefilled SyringeApproval firstAmount limit
0.8 ML adalimumab-atto 100 MG/ML Auto-Injector [Amjevita]Approval firstAmount limit
0.8 ML adalimumab-ryvk 100 MG/ML Auto-Injector [Simlandi]Approval firstAmount limit
0.8 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]Approval firstAmount limit

← All coverage for adalimumab