Does KP OR Family Dental - $1000/$50 Ded cover adalimumab?
KP OR Family Dental - $1000/$50 Ded
71287-71287OR0590001-0 · ACA · ACA Marketplace
adalimumab
adalimumabunder KP OR Family Dental - $1000/$50 Ded
Covered — some forms require prior authorization
9 of 15 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
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.
Covered forms and strengths (15)
- {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 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 100 MG/ML Prefilled Syringe [Humira]) } Pack [Humira Prefilled Syringe 80 MG/0.8 ML Starter Pack - Pediatric Crohn's Disease]Approval firstAmount limit
- 0.1 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Approval firstAmount limit
- 0.2 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]Approval firstAmount limit
- 0.2 ML adalimumab-atto 100 MG/ML Prefilled Syringe [Amjevita]Amount limit
- 0.2 ML adalimumab-atto 50 MG/ML Prefilled Syringe [Amjevita]Amount 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-atto 100 MG/ML Auto-Injector [Amjevita]Amount limit
- 0.4 ML adalimumab-atto 100 MG/ML Prefilled Syringe [Amjevita]Amount limit
- 0.4 ML adalimumab-atto 50 MG/ML Prefilled Syringe [Amjevita]Amount 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-atto 100 MG/ML Auto-Injector [Amjevita]Amount limit