Generic Ingredient ADALIMUMAB-ADAZ Medication Lists Not Covered Prior Auth Required Strength Information HYRIMOZ-40MG/0.4ML-PREFILLED SYRINGE HYRIMOZ-40MG/0.4ML-AUTOINJECTOR HYRIMOZ CROHNS-80MG/0.8ML-AUTOINJECTOR HYRIMOZ-80MG/0.8ML-AUTOINJECTOR HYRIMOZ PEDIATRIC CROHNS-80MG/0.8ML AND 40MG/0.4ML-PREFILLED SYRINGE KIT HYRIMOZ-20MG/0.2ML-PREFILLED SYRINGE HYRIMOZ-10MG/0.1ML-PREFILLED SYRINGE HYRIMOZ PLAQUE PSORIASIS-80MG/0.8ML AND 40MG/0.4ML-AUTOINJECTOR KIT Covered Alternatives Group IMMUNOMODULATORS - TNF BLOCKERS gpi6 Immunomodulators**