FillMapKP OR Silver 4000

Does KP OR Silver 4000 cover adalimumab?

KP OR Silver 4000
71287-71287OR0420012-0 · ACA · ACA Marketplace
adalimumab
adalimumabunder KP OR Silver 4000
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
$75per 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.

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
Preferred brand
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

← All coverage for adalimumab