amphetamine salt combo XR

Capsule

Antihyperkinesis / Adhd

Also known as: Adderall XR

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 10 hours, 59 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via Adderall XR
Tier 3 - Non-Preferred Brand PA
BCBS Federal Standard Option 2026
via Adderall XR
Tier 3 - Non-Preferred Brand PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 10 hours, 59 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Adderall XR
Preferred None
NC Medicaid Preferred Drug List 2026 Preferred None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 10 hours, 59 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026
via Adderall XR
Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026
via Adderall XR
Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026
via Adderall XR
Not Covered None
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