Does Quartz Gundersen Performance Silver (dental & Vision) $8,000 Ded cover adalimumab?
Quartz Gundersen Performance Silver (dental & Vision) $8,000 Ded
37833-37833WI0380284-0 · ACA · ACA Marketplace
adalimumab
adalimumabunder Quartz Gundersen Performance Silver (dental & Vision) $8,000 Ded
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
60%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. Your plan’s deductible comes first — you pay the full price until it is met.
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
- 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 (21)
- {1 (0.4 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]) / 1 (0.8 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]) } Pack [Hyrimoz Pediatric Crohn's Starter Kit Patient Weight < 40 KG]Approval firstAmount limit
- {2 (0.4 ML adalimumab-adaz 100 MG/ML Auto-Injector [Hyrimoz]) / 1 (0.8 ML adalimumab-adaz 100 MG/ML Auto-Injector [Hyrimoz]) } Pack [Hyrimoz Plaque Psoriasis Starter Kit]Approval firstAmount limit
- {3 (0.8 ML adalimumab-adaz 100 MG/ML Auto-Injector [Hyrimoz]) } Pack [Hyrimoz Crohn's and UC Starter Kit]Approval firstAmount limit
- {3 (0.8 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]) } Pack [Hyrimoz Pediatric Crohn's Starter Kit Patient Weight > 40 KG]Approval firstAmount limit
- 0.1 ML adalimumab-adaz 100 MG/ML Prefilled SyringeApproval firstAmount limit
- 0.1 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]Approval firstAmount limit
- 0.2 ML adalimumab-adaz 100 MG/ML Prefilled SyringeApproval firstAmount limit
- 0.2 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]Approval firstAmount limit
- 0.4 ML adalimumab-adaz 100 MG/ML Auto-InjectorApproval firstAmount limit
- 0.4 ML adalimumab-adaz 100 MG/ML Auto-Injector [Hyrimoz]Approval firstAmount limit
- 0.4 ML adalimumab-adaz 100 MG/ML Prefilled SyringeApproval firstAmount limit
- 0.4 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]Approval 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-fkjp 50 MG/ML Prefilled SyringeApproval firstAmount limit
- 0.8 ML adalimumab-adaz 100 MG/ML Auto-InjectorApproval firstAmount limit
- 0.8 ML adalimumab-adaz 100 MG/ML Auto-Injector [Hyrimoz]Approval 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-fkjp 50 MG/ML Auto-InjectorApproval firstAmount limit
- 0.8 ML adalimumab-fkjp 50 MG/ML Prefilled SyringeApproval firstAmount limit