adalimumab-fkjp

20 mg/0.4 mL, 40 mg/0.8 mL — Prefilled Syringe

Also known as: ADALIMUMAB-FKJP(CF) HULIO(CF) ADALIMUMAB-FKJP(CF) PEN HULIO(CF) PEN

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

3 plans

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 23 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Troy Medicare (HMO)	Tier 3 - Preferred Brand	✓	—	✓ 6 per 28 days	PA \| QL
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)	Tier 3 - Preferred Brand	✓	—	✓ 6 per 28 days	PA \| QL
AmeriHealth Caritas VIP Care (HMO D-SNP)	Tier 3 - Preferred Brand	✓	—	✓ 6 per 28 days	PA \| QL

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 23 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA