Lisdexamfetamine

10 Mg — Capsule

Also known as: Vyvanse Lisdexamfetamine 10 Mg Capsule Lisdexamfetamine 20 Mg Capsule Lisdexamfetamine 30 Mg Capsule Lisdexamfetamine 40 Mg Capsule Lisdexamfetamine 50 Mg Capsule Lisdexamfetamine 60 Mg Capsule Lisdexamfetamine 70 Mg Capsule Lisdexamfetamine 10 Mg Chewable Tablet Lisdexamfetamine 20 Mg Chewable Tablet Lisdexamfetamine 30 Mg Chewable Tablet Lisdexamfetamine 40 Mg Chewable Tablet Lisdexamfetamine 50 Mg Chewable Tablet Lisdexamfetamine 60 Mg Chewable Tablet

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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.

Blue Cross Blue Shield Federal

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 4 hours, 36 minutes ago

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

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 4 hours, 36 minutes ago

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

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 4 hours, 36 minutes ago

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

NC Medicaid PDL

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 4 hours, 36 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026 via Vyvanse	Preferred	—	—	—	None
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	—	—	None

NC State Health Plan

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 4 hours, 36 minutes ago

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