Hadlima Pushtouch

Generic: adalimumab-bwwd

ANALGESICS - ANTI-INFLAMMATORY

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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Checked: 22 hours, 23 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas Next Gold Premier + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas Next Gold Signature + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas Next Silver Signature + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas Next Silver Premier + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas Next Silver Essential + No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — — PA
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 22 hours, 23 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Care 2026 Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
BCBSNC Blue Value 2026 Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
BCBSNC Blue Care 2026
via Hadlima 		Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
BCBSNC Blue Value 2026
via Hadlima 		Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
BCBSNC Blue Advantage 2026 Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
BCBSNC Blue Local 2026 Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
BCBSNC Blue Advantage 2026
via Hadlima 		Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Hadlima 		Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
BCBSNC Blue Local 2026
via Hadlima 		Tier 5 - Specialty ✓ — ✓ Restricted Access PA | QL
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 22 hours, 23 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
PruittHealth Premier (HMO I-SNP)
via Hadlima 		Tier 1 - Preferred Generic ✓ — ✓ 2.4 per 28 days PA | QL
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
via Hadlima 		Tier 1 - Preferred Generic ✓ — ✓ 2.4 per 28 days PA | QL
Liberty Medicare Dual Plan (HMO D-SNP)
via Hadlima 		Tier 1 - Preferred Generic ✓ — ✓ 2.4 per 28 days PA | QL
Longevity Health Plan (HMO I-SNP)
via Hadlima 		Tier 1 - Preferred Generic ✓ — ✓ 2.4 per 28 days PA | QL
NHC Advantage (HMO I-SNP)
via Hadlima 		Tier 1 - Preferred Generic ✓ — ✓ 2.4 per 28 days PA | QL
Aetna Medicare Signature (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Enhanced (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Enhanced (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature Extra (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature Giveback (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Chronic Care (HMO C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Chronic Care Value (HMO C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Chronic Care (HMO C-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Chronic Care Value (HMO C-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
HealthSpring True Choice (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
HealthSpring TotalCare (HMO D-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
HealthSpring TotalCare Plus (HMO D-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
HealthSpring Preferred (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
HealthSpring Preferred Select (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
HealthSpring Preferred Savings (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
HealthSpring Preferred Plus (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED DUAL FULL 013 NC (HMO D-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED DUAL FULL 013 NC (HMO D-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED DUAL 009 NC (HMO D-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED DUAL 009 NC (HMO D-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CORE 001 NC (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED GIVEBACK 002 NC (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED GIVEBACK 012 NC (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CORE 001 NC (HMO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED GIVEBACK 002 NC (HMO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED GIVEBACK 012 NC (HMO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE 001 NC (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE GIVEBACK 002 NC (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE 003 NC (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE GIVEBACK 004 NC (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE 005 NC (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE GIVEBACK 006 NC (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE 008 NC (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE GIVEBACK 009 NC (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE 001 NC (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE GIVEBACK 002 NC (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE 003 NC (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE GIVEBACK 004 NC (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE 005 NC (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE GIVEBACK 006 NC (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE 008 NC (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
DEVOTED CHOICE GIVEBACK 009 NC (PPO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Alignment Health Platinum (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Aetna Medicare Signature (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Dual (HMO D-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Value Plus (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Prime (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature Care (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Full Dual Care (HMO D-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Enhanced (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Enhanced (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Enhanced (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature Extra (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature Giveback (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (HMO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Dual (HMO D-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature (HMO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Value Plus (HMO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Prime (HMO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Signature Care (HMO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Full Dual Care (HMO D-SNP)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Aetna Medicare Enhanced (HMO)
via adalimumab-bwwd 		Tier 5 - Specialty ✓ — ✓ 22.40 per 365 days PA | QL
Blue Medicare PPO Enhanced (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Blue Medicare Essential Plus (HMO-POS)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Blue Medicare Enhanced (HMO-POS)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Blue Medicare Choice (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Blue Medicare Essential (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Experience Health Medicare Advantage (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Healthy Blue + Medicare (HMO-POS D-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Alignment Health NC Duals (HMO-POS D-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Alignment Health smartHMO (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Alignment Health Platinum Select (HMO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Alignment Health AVA (PPO)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Senior Care (HMO I-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Liberty Medicare Advantage (HMO C-SNP)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ 2.4 per 28 days PA | QL
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 22 hours, 23 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via adalimumab-bwwd 		Tier 3 - Non-Formulary ✓ — — PA
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 22 hours, 23 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Gold Standard (No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Bronze Standard+ Dental + Vision (No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Bronze Standard (No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Silver Standard (No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via Hadlima 		Tier 5 - Specialty ✓ — ✓ PA | QL
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