Adderall XR

Generic: amphetamine salt combo XR

10MG — Capsule

Also known as: ADDERALL XR CAP 5MG ADDERALL XR CAP 10MG ADDERALL XR CAP 15MG ADDERALL XR CAP 20MG ADDERALL XR CAP 25MG ADDERALL XR CAP 30MG

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 5 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Basic Option 2026	Tier 3 - Non-Preferred Brand	✓	—	—	PA
BCBS Federal Standard Option 2026	Tier 3 - Non-Preferred Brand	✓	—	—	PA

5 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 5 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Local 2026	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Care 2026	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Value 2026	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Advantage 2026	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 5 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026 via amphetamine salt combo XR	Preferred	—	—	—	None
NC Medicaid Preferred Drug List 2026	Preferred	—	—	—	None

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 5 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026	Not Covered	—	—	—	None