FillMapGold 2000 $15 Generic Drugs

Does Gold 2000 $15 Generic Drugs cover adalimumab?

Gold 2000 $15 Generic Drugs
77552-77552OH0010202-0 · ACA · ACA Marketplace
adalimumab
adalimumabunder Gold 2000 $15 Generic Drugs
Covered — some forms require prior authorization
23 of 28 covered forms have a condition attached. 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.

Covered forms and strengths (28)

  • {3 (0.8 ML adalimumab-adaz 100 MG/ML Auto-Injector) } Pack
  • {4 (0.4 ML adalimumab-adbm 100 MG/ML Auto-Injector) } PackApproval first
  • {4 (0.8 ML adalimumab-adbm 50 MG/ML Auto-Injector) } PackApproval first
  • {6 (0.4 ML adalimumab-adbm 100 MG/ML Auto-Injector) } PackApproval first
  • {6 (0.8 ML adalimumab-adbm 50 MG/ML Auto-Injector) } PackApproval first
  • 0.1 ML adalimumab-adaz 100 MG/ML Prefilled Syringe
  • 0.2 ML adalimumab-adaz 100 MG/ML Prefilled Syringe
  • 0.2 ML adalimumab-adbm 50 MG/ML Prefilled SyringeApproval first
  • 0.2 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]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-adbm 100 MG/ML Auto-InjectorApproval first
  • 0.4 ML adalimumab-adbm 100 MG/ML Prefilled SyringeApproval first
  • 0.4 ML adalimumab-adbm 50 MG/ML Prefilled SyringeApproval 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-ryvk 100 MG/ML Auto-InjectorApproval first
  • 0.4 ML adalimumab-ryvk 100 MG/ML Auto-Injector [Simlandi]Approval first
  • 0.4 ML adalimumab-ryvk 100 MG/ML Prefilled SyringeApproval first
  • 0.4 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]Approval first
  • 0.8 ML adalimumab-adaz 100 MG/ML Auto-Injector
  • 0.8 ML adalimumab-adbm 50 MG/ML Auto-InjectorApproval first
  • 0.8 ML adalimumab-adbm 50 MG/ML Prefilled SyringeApproval 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-ryvk 100 MG/ML Auto-Injector
  • 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