Generic Ingredient ADALIMUMAB Medication Lists Not Covered Prior Auth Required Strength Information HUMIRA-40MG/0.8ML-SYRINGE HUMIRA-40MG/0.8ML-PEN HUMIRA-20MG/0.4ML-SYRINGE HUMIRA-10MG/0.1ML-SYRINGE Covered Alternatives Group IMMUNOMODULATORS - TNF BLOCKERS gpi6 Immunosuppressive Agents**