Idacio Pen / Psoriasis Pen / Crohn's-UC 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.

7 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 14 hours, 41 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 via Abrilada Pen	Non-Preferred	✓	✓	—	PA \| ST
NC Medicaid Preferred Drug List 2026	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 Hulio Pen	Non-Preferred	✓	✓	—	PA \| ST