Adalimumab Coupon - Adalimumab 2 pens of 40mg/0.8ml carton
Specialty Drug


ADALIMUMAB is used to treat rheumatoid and psoriatic arthritis. It is also used to treat ankylosing spondylitis, Crohn's disease, ulcerative colitis, plaque psoriasis, hidradenitis suppurativa, and uveitis. Compare TNF blockers.
Adalimumab Coupon - Adalimumab 2 pens of 40mg/0.8ml carton

Adalimumab Medicare Coverage


Does Medicare cover Humira?

98% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Humira co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Donut Hole
Post-Donut Hole
Co-Pay Range
$4035 – $4381
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$1012 – $1446
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1735 – $1972
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$15 – $219
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Adalimumab

Here are some ways that may lower the cost of your Humira prescription.

Manufacturer Coupon
Pay as little as $5 per month with insurance.
Patient Assistance Program
Receive your prescription at no cost to you if you are eligible.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Adalimumab Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 1 carton (2 pens) of Humira 40mg/0.8ml

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $1123
AARP MedicareComplete Plan 1 (HMO) $1178
AARP MedicareComplete SecureHorizons (HMO) $1089
AARP MedicareRx Preferred (PDP) $1314
AARP MedicareRx Saver Plus (PDP) $1023
Aetna Medicare Rx Saver (PDP) $1041
Cigna-HealthSpring Preferred (HMO) $1261
Cigna-HealthSpring Rx Secure (PDP) $1029
Cigna-HealthSpring Rx Secure-Extra (PDP) $1111
EnvisionRxPlus Silver (PDP) $1042
Express Scripts Medicare - Value (PDP) $1031
First Health Part D Value Plus (PDP) $1374
Humana Enhanced (PDP) $1355
Humana Preferred Rx Plan (PDP) $1027
Humana Walmart Rx Plan (PDP) $1025
Kaiser Permanente Senior Advantage (HMO) $1272
MedicareBlue Rx Standard (PDP) $1046
SilverScript Choice (PDP) $1369
Symphonix Value Rx (PDP) $1021
WellCare Classic (PDP) $1045
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Adalimumab Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Humira that may include:

Quantity Limits

Most Medicare plans restrict the amount of this prescription that can be purchased at one time. If you need to purchase a greater amount at one time, it may not be covered. Your options are to wait until that time period has passed before refilling, call your plan and ask for an exception, or consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

Prior Authorization

Most Medicare plans will require you to obtain their authorization before they will provide coverage for this prescription. You’ll need to contact your plan and they may require you to have your doctor fill out paperwork indicating why you need this prescription. If you do not receive authorization or don’t want to go through this process, you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is Humira typically on?

Tier 5

Medicare plans typically list Humira in Tier 5 of their formulary. Tier 5 drugs are usually non-preferred brand-name drugs. Tier 5 drugs cost more than Tier 1, 2, 3 and 4 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). If you encounter any issues, please let us know.
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