FillMapBlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

Does BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) cover adalimumab?

BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
16842-16842FL0260009-0 · ACA · ACA Marketplace
adalimumab
adalimumabunder BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
50%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. 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.

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 drugs
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.

Covered forms and strengths (27)

  • {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 firstAmount limit
  • {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 firstAmount limit
  • {3 (0.8 ML adalimumab-aaty 100 MG/ML Auto-Injector) } PackApproval firstAmount limit
  • 0.1 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Approval firstAmount limit
  • 0.1 ML adalimumab-adaz 100 MG/ML Prefilled SyringeApproval firstAmount limit
  • 0.2 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Approval firstAmount limit
  • 0.2 ML adalimumab-aaty 100 MG/ML Prefilled SyringeApproval firstAmount limit
  • 0.2 ML adalimumab-adaz 100 MG/ML Prefilled SyringeApproval firstAmount limit
  • 0.2 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]Approval firstAmount limit
  • 0.4 ML adalimumab 100 MG/ML Auto-Injector [Humira]Approval firstAmount limit
  • 0.4 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Approval firstAmount limit
  • 0.4 ML adalimumab-aaty 100 MG/ML Auto-InjectorApproval firstAmount limit
  • 0.4 ML adalimumab-aaty 100 MG/ML Prefilled SyringeApproval firstAmount limit
  • 0.4 ML adalimumab-adaz 100 MG/ML Auto-InjectorApproval firstAmount limit
  • 0.4 ML adalimumab-adaz 100 MG/ML Prefilled SyringeApproval firstAmount limit
  • 0.4 ML adalimumab-bwwd 100 MG/ML Auto-Injector [Hadlima]Approval firstAmount limit
  • 0.4 ML adalimumab-bwwd 100 MG/ML Prefilled Syringe [Hadlima]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 100 MG/ML Auto-Injector [Humira]Approval firstAmount limit
  • 0.8 ML adalimumab 50 MG/ML Auto-Injector [Humira]Approval firstAmount limit
  • 0.8 ML adalimumab 50 MG/ML Prefilled Syringe [Humira]Approval firstAmount limit
  • 0.8 ML adalimumab-aaty 100 MG/ML Auto-InjectorApproval firstAmount limit
  • 0.8 ML adalimumab-adaz 100 MG/ML Auto-InjectorApproval firstAmount limit
  • 0.8 ML adalimumab-bwwd 50 MG/ML Auto-Injector [Hadlima]Approval firstAmount limit
  • 0.8 ML adalimumab-bwwd 50 MG/ML Prefilled Syringe [Hadlima]Approval firstAmount limit
  • 0.8 ML adalimumab-ryvk 100 MG/ML Auto-Injector [Simlandi]Approval firstAmount limit

← All coverage for adalimumab