Does CCHP Senior Value Program (HMO) cover adalimumab?
CCHP Senior Value Program (HMO)
H0571-011-0 · MA_LOCAL · Medicare Part D
adalimumab
Do you get help with your Medicare drug costs?None of these
Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.
adalimumabunder CCHP Senior Value Program (HMO)
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
33%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. Part D caps what you pay out of pocket at $2,100 for 2026. From the first fill — no deductible on this drug.
This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.
- Tier
- Tier 5
- 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 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.
Covered forms and strengths (28)
- {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]Tier 5Approval 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]Tier 5Approval first
- {3 (0.8 ML adalimumab-aaty 100 MG/ML Auto-Injector [Yuflyma]) } Pack [Yuflyma Auto-Injector 80 MG/0.8 ML Starter Package for Crohn's Disease, Ulcerative Colitis or Hidradenitis Suppurativa]Tier 5Approval first
- {3 (0.8 ML adalimumab-aaty 100 MG/ML Auto-Injector) } PackTier 5Approval first
- 0.1 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Tier 5Approval first
- 0.2 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Tier 5Approval first
- 0.2 ML adalimumab-aaty 100 MG/ML Prefilled SyringeTier 5Approval first
- 0.2 ML adalimumab-adbm 50 MG/ML Prefilled Syringe [Cyltezo]Tier 5Approval first
- 0.4 ML adalimumab 100 MG/ML Auto-Injector [Humira]Tier 5Approval first
- 0.4 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Tier 5Approval first
- 0.4 ML adalimumab-aaty 100 MG/ML Auto-InjectorTier 5Approval first
- 0.4 ML adalimumab-aaty 100 MG/ML Auto-Injector [Yuflyma]Tier 5Approval first
- 0.4 ML adalimumab-aaty 100 MG/ML Prefilled SyringeTier 5Approval first
- 0.4 ML adalimumab-aaty 100 MG/ML Prefilled Syringe [Yuflyma]Tier 5Approval first
- 0.4 ML adalimumab-adbm 100 MG/ML Auto-Injector [Cyltezo]Tier 5Approval first
- 0.4 ML adalimumab-adbm 100 MG/ML Prefilled Syringe [Cyltezo]Tier 5Approval first
- 0.4 ML adalimumab-adbm 50 MG/ML Prefilled Syringe [Cyltezo]Tier 5Approval first
- 0.4 ML adalimumab-bwwd 100 MG/ML Auto-Injector [Hadlima]Tier 5Approval first
- 0.4 ML adalimumab-bwwd 100 MG/ML Prefilled Syringe [Hadlima]Tier 5Approval first
- 0.8 ML adalimumab 100 MG/ML Auto-Injector [Humira]Tier 5Approval first
- 0.8 ML adalimumab 50 MG/ML Auto-Injector [Humira]Tier 5Approval first
- 0.8 ML adalimumab 50 MG/ML Prefilled Syringe [Humira]Tier 5Approval first
- 0.8 ML adalimumab-aaty 100 MG/ML Auto-InjectorTier 5Approval first
- 0.8 ML adalimumab-aaty 100 MG/ML Auto-Injector [Yuflyma]Tier 5Approval first
- 0.8 ML adalimumab-adbm 50 MG/ML Auto-Injector [Cyltezo]Tier 5Approval first
- 0.8 ML adalimumab-adbm 50 MG/ML Prefilled Syringe [Cyltezo]Tier 5Approval first
- 0.8 ML adalimumab-bwwd 50 MG/ML Auto-Injector [Hadlima]Tier 5Approval first
- 0.8 ML adalimumab-bwwd 50 MG/ML Prefilled Syringe [Hadlima]Tier 5Approval first