dexmethylphenidate hcl cp24

5mg, 10mg, 15mg, 20mg, 25mg, 30mg, 35mg, 40mg — Tablet

STIMULANTS - MISC.

Also known as: dexmethylphenidate hcl cp24 5mg, 10mg, 15mg, 20mg, 25mg, 30mg, 35mg, 40mg; tabs 2.5mg, 5mg, 10mg dexmethylphenidate hcl cp24 5mg, 10mg,

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: 22 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 1 - Generic PA
BCBS Federal Basic Option 2026 Tier 1 - Generic PA
BCBS Federal Focus 2026 Tier 1 - Generic PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic PA | QL
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic PA | QL
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic PA | QL
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