Hulio Pen

Generic: biosimilar to Humira

Prefilled Syringe

Also known as: biosimilar to Humira

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

10 plans

Source: CMS QHP JSON · Checked: 21 hours, 50 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA
AmeriHealth Caritas Next Bronze Signature + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA
AmeriHealth Caritas Next Silver Signature + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA
AmeriHealth Caritas Next Gold Signature + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA
AmeriHealth Caritas Next Bronze Premier + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA
AmeriHealth Caritas Next Silver Premier + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA
AmeriHealth Caritas Next Silver Essential + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA
AmeriHealth Caritas Next Gold Premier + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA
AmeriHealth Caritas Next Bronze Essential + No Referrals via Yusimry	Tier 5 - Specialty	✓	—	—	PA

7 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 21 hours, 50 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026 via Hadlima Syringe / PushTouch	Preferred	✓	✓	—	PA \| ST
NC Medicaid Preferred Drug List 2026 via Amjevita Syringe	Non-Preferred	✓	✓	—	PA \| ST
NC Medicaid Preferred Drug List 2026	Non-Preferred	✓	✓	—	PA \| ST
NC Medicaid Preferred Drug List 2026 via Idacio Pen / Psoriasis Pen / Crohn's-UC Pen	Non-Preferred	✓	✓	—	PA \| ST
NC Medicaid Preferred Drug List 2026 via Simlandi Autoinjector	Non-Preferred	✓	✓	—	PA \| ST
NC Medicaid Preferred Drug List 2026 via Yusimry	Non-Preferred	✓	✓	—	PA \| ST
NC Medicaid Preferred Drug List 2026 via Abrilada Pen	Non-Preferred	✓	✓	—	PA \| ST

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 21 hours, 50 minutes ago

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