Metadate Cd

Generic: methylphenidate hcl

ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ ANOREXIANTS

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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.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via Relexxii 		Tier 3 - Non-Preferred Brand ✓ — — PA
BCBS Federal Standard Option 2026
via Relexxii 		Tier 3 - Non-Preferred Brand ✓ — — PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Local 2026 Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Care 2026 Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Value 2026 Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Advantage 2026
via methylphenidate hcl 		Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Home with UNC Health Alliance 2026
via methylphenidate hcl 		Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Local 2026
via methylphenidate hcl 		Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Care 2026
via methylphenidate hcl 		Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Value 2026
via methylphenidate hcl 		Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Advantage 2026 Tier 2 - Medium Cost Generic/Brand — — ✓ QL
BCBSNC Blue Advantage 2026
via Methylphenidate Hydrochlo 		Tier 4 - Higher Cost Brand — — ✓ QL
BCBSNC Blue Local 2026
via Methylphenidate Hydrochlo 		Tier 4 - Higher Cost Brand — — ✓ QL
BCBSNC Blue Care 2026
via Methylphenidate Hydrochlo 		Tier 4 - Higher Cost Brand — — ✓ QL
BCBSNC Blue Value 2026
via Methylphenidate Hydrochlo 		Tier 4 - Higher Cost Brand — — ✓ QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Methylphenidate Hydrochlo 		Tier 4 - Higher Cost Brand — — ✓ QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Relexxii 		Non-Preferred — — — None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 17 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via methylphenidate hcl 		Tier 1 - Basic Core Formulary ✓ — — PA
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 17 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via methylphenidate hcl 		Unknown ✓ — ✓ PA | QL
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