Many Medicare Advantage plans and Medicare prescription drug plans cover HUMIRA. Learn more about HUMIRA and Medicare prescription drug coverage.
Humira
Chemical name: Adalimumab
Typical dosage: 40mg/0.4ml
Typical type: Injectable pen1
Humira is used to treat forms of arthritis such as rheumatoid, psoriatic and juvenile idiopathic arthritis. It is also used to treat plan psoriasis, Crohn’s disease and other conditions.
Humira is used to treat a range of autoimmune conditions such as various forms of arthritis, Crohn’s disease, plaque psoriasis and ulcerative colitis. Humira can be administered alongside methotrexate or other non-biologic medications.
There are a number of biosimilar drugs to Humira, which are similar and safe alternatives to Humira.
How much does Humira cost with Medicare?
Humira coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.
Contact your plan carrier or consult your plan formulary for more cost information.
Does Medicare cover Humira?
According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Humira in 2023.1
Medicare Advantage plans or Part D plans that cover Humira include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.2
Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.
Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Humira. We represent carriers such as Humana, UnitedHealthcare®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.
This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.
Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.
Written by Hayden Gharibyar, Pharm.D.
About the author
Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.
Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.
Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.
A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.
If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.
Read our guide to Medicare Advantage Prescription Drug Plans to discover the different plans, what they cover, how you can enroll and if an MAPD plan could benefit you. Read more
There are a number of prescription drug assistance programs that can help patients save on the rising cost of prescription drugs. Learn about eligibility. Read more
A formulary for Medicare is the list of drugs a given Medicare Part D prescription drug plan or Medicare Advantage Prescription Drug (MA-PD) plan will cover. A Medicare plan formulary details information such as how drugs are covered, their relative costs, limitations and/or restrictions. Read more
This guide explains 2024 Medicare Open Enrollment and other Medicare enrollment periods. Don't miss this important time to review and change your Medicare coverage. Read more
This report details where Medicare beneficiaries have access to the widest range of quality 2024 Medicare Advantage plans at the most affordable prices. Read more
Learn More About Medicare
Join our email series to receive your Medicare guide and the latest information about Medicare.
By clicking "Sign me up!” you are agreeing to receive emails from MedicareAdvantage.com.
Thanks for signing up for our emails!
Your Medicare guide will arrive in your email inbox shortly. You can also look forward to informative email updates about Medicare and Medicare Advantage.
If you'd like to speak with an agent right away, we're standing by for that as well. Give us a call!
1-800-557-6059TTY 711, 24/7LICENSED AGENTS AVAILABLE NOW
You're on your way to finding a Medicare Supplement plan!
Compare your Medigap plan options by visiting MedicareSupplement.com