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Humira Brand Coverage Update

Carpenters Benefit Plans | Dec 19, 2024

As your pharmacy benefit manager, Express Scripts by Evernorth® wants you to know about an important coverage change for Humira — and how they can help.

Throughout the year, Express Scripts asks an independent panel of doctors and pharmacists to review and compare all the medications available. When the panel finds multiple medications for the same condition that are equally safe, your coverage may change to keep your overall plan affordable.

As a result of this review, the Humira brand will not be covered for patients new to therapy effective January 1, 2025. For existing patients, Express Scripts by Evernorth® will ensure the transition to the biosimilar medication is seamless for you and your doctor by establishing continuation of therapy for current Humira patients through June 30, 2025. Ask your doctor about the list of preferred alternatives below.

ADALIMUMABADAZ(CF) PENADALIMUMABADBM(CF) PENADALIMUMABRYVK(CF) AUTOINJECTCYLTEZO(CF) PENSIMLANDI(CF)
AUTOINJECTOR
Preferred Alternatives

Beginning July 1, 2025, Humira brand will no longer be covered under the plan. Switching to an alternative is easy. See the box on the left to make the switch, visit express-scripts.com or call Express Scripts at 800.939.2134.

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