Yuflyma
Generic: adalimumab-aaty
10 MG, 20 MG, 40 MG, 80 MG — Auto-Injector
Also known as:
adalimumab-aaty
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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.
Ambetter (Centene)
58 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Elite Bronze
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze with Atrium Health
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Silver with Atrium Health
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Gold with Atrium Health
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Silver + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Gold + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Complete Gold | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Expanded Bronze with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Silver with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Gold with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Complete Gold + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Everyday Bronze + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Elite Bronze + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Expanded Bronze + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Silver + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Gold + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Silver with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Gold with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Clear Silver with $0 Insulin Options
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Silver
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Gold
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze with Atrium Health
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Everyday Bronze | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Elite Bronze | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Clear Silver with $0 Insulin Options | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Expanded Bronze | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Silver | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Gold | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Everyday Bronze with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Elite Bronze with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Focused Silver with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Complete Gold with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
Blue Cross Blue Shield of NC
20 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Advantage 2026
via Adalimumab-Aaty 2-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Adalimumab-Aaty 2-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Local 2026
via Adalimumab-Aaty 2-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Care 2026
via Adalimumab-Aaty 2-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Value 2026
via Adalimumab-Aaty 2-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Advantage 2026
via Adalimumab-Aaty 2-Syringe |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Adalimumab-Aaty 2-Syringe |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Local 2026
via Adalimumab-Aaty 2-Syringe |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Care 2026
via Adalimumab-Aaty 2-Syringe |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Value 2026
via Adalimumab-Aaty 2-Syringe |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Advantage 2026
via Adalimumab-Aaty Cd/Uc/Hs |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Local 2026
via Adalimumab-Aaty 1-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Care 2026
via Adalimumab-Aaty 1-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Value 2026
via Adalimumab-Aaty 1-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Adalimumab-Aaty Cd/Uc/Hs |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Local 2026
via Adalimumab-Aaty Cd/Uc/Hs |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Care 2026
via Adalimumab-Aaty Cd/Uc/Hs |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Value 2026
via Adalimumab-Aaty Cd/Uc/Hs |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Advantage 2026
via Adalimumab-Aaty 1-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Adalimumab-Aaty 1-Pen |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
Medicare Part D
47 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Provider Partners North Carolina Community Plan (HMO I-SNP)
via adalimumab-aaty |
Tier 1 - Preferred Generic | ✓ | — | ✓ 2 per 28 days | PA | QL |
|
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via adalimumab-aaty |
Tier 1 - Preferred Generic | ✓ | — | ✓ 2 per 28 days | PA | QL |
|
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via adalimumab-aaty |
Tier 1 - Preferred Generic | ✓ | — | ✓ 2 per 28 days | PA | QL |
|
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ 2 per 28 days | PA | QL |
| Wellcare Assist Open (PPO) | Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
| Wellcare Dual Access (HMO-POS D-SNP) | Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
| Wellcare Dual Liberty (HMO-POS D-SNP) | Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
| Wellcare Dual Reserve (HMO-POS D-SNP) | Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
| Wellcare Simple Open (PPO) | Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
| Wellcare Simple (HMO-POS) | Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
| Wellcare Giveback Open (PPO) | Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
HealthTeam Advantage Plan I (PPO)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ 2 per 28 days | PA | QL |
|
HealthTeam Advantage Plan II (PPO)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ 2 per 28 days | PA | QL |
|
UHC Complete Care NC-28 (HMO-POS C-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
Erickson Advantage Champion (HMO-POS C-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
HealthTeam Advantage Vitality Plan (PPO)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | ✓ 2 per 28 days | PA | QL |
| Wellcare Dual Liberty Open (PPO D-SNP) | Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
UHC Dual Complete NC-S001 (PPO D-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
UHC Dual Complete NC-S2 (PPO D-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage Access from UHC NC-23 (PPO)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0001 (PPO)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0004 (PPO)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0016 (PPO)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0017 (PPO)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0019 (PPO)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0021 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0022 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0007 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0008 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0011 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0012 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-0015 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-24 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
AARP Medicare Advantage from UHC NC-26 (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
Erickson Advantage Signature (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
Erickson Advantage Guardian (HMO-POS I-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
Erickson Advantage Freedom (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
Erickson Advantage Liberty (HMO-POS)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
UHC Complete Care NC-25 (HMO-POS C-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
|
UHC Complete Care NC-27 (HMO-POS C-SNP)
via adalimumab-aaty |
Tier 5 - Specialty | ✓ | — | — | PA |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 70/30 Standard PPO 2026
via Adalimumab-Aaty 1-Pen |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Adalimumab-Aaty 1-Pen |
Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Adalimumab-Aaty 1-Pen |
Not Covered | — | — | — | None |