dextroamphetamine-amphet er
Generic: dextroamphetamine sulf-saccharate/amphetamine sulf-aspartate
10 MG, 15 MG, 20 MG, 25 MG, 30 MG, 5 MG — CAPSULE, EXT RELEASE 24 HR
Compare Prices
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
TRICARE
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
TRICARE Uniform Formulary 2026
via dextroamphetamine sulf-saccharate/amphetamine sulf-aspartate |
Tier 1 - Generic Formulary (Basic Core) | — | — | — | None |
| TRICARE Uniform Formulary 2026 | Tier 1 - Generic Formulary | — | — | — | None |
|
TRICARE Uniform Formulary 2026
via dextroamphetamine/amphetamine |
Tier 3 - Non-Formulary | ✓ | — | — | PA PA: 1270/48001/90693 PA DRUGS, DOD PA REQUIRED |