Dextroamphetamine-Amphetamine

12.5 Mg — Tablet

Also known as: Dextroamphetamine-Amphetamine 5 Mg Tablet Dextroamphetamine-Amphetamine 7.5 Mg Tablet Dextroamphetamine-Amphetamine 10 Mg Tablet Dextroamphetamine-Amphetamine 12.5 Mg Tablet Dextroamphetamine-Amphetamine 15 Mg Tablet Dextroamphetamine-Amphetamine 20 Mg Tablet Dextroamphetamine-Amphetamine 30 Mg Tablet Dextroamphetamine-Amphetamine Er 5 Mg Capsule Dextroamphetamine-Amphetamine Er 10 Mg Capsule Dextroamphetamine-Amphetamine Er 15 Mg Capsule Dextroamphetamine-Amphetamine Er 20 Mg Capsule Dextroamphetamine-Amphetamine Er 25 Mg Capsule Dextroamphetamine-Amphetamine Er 30 Mg Capsule

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Coverage by Insurer

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

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 4 hours, 19 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 1 - Generic	—	—	✓	QL