Methylphenidate Cd
10 Mg — Capsule
Also known as:
Metadate CD
Methylphenidate Cd 10 Mg Capsule
Methylphenidate Cd 20 Mg Capsule
Methylphenidate Cd 30 Mg Capsule
Methylphenidate Cd 40 Mg Capsule
Methylphenidate Cd 50 Mg Capsule
Methylphenidate Cd 60 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
20 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Connect Silver CMS Standard | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Bronze RD 6000 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Bronze RD CMS Standard | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Silver RD 3500 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Silver RD 5000 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Silver 5000 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Silver 3000 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Gold 1500 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Bronze 6500 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Silver RD CMS Standard | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Silver RD 2200 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Gold RD CMS Standard | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Bronze 7000 HSA Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Bronze 5500 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Silver 3600 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Gold CMS Standard | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect myDiabetesCare Silver | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Bronze RD 5000 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect Bronze CMS Standard | Tier 3 - Preferred Brand | — | — | ✓ | QL |
| Connect myDiabetesCare Bronze | Tier 3 - Preferred Brand | — | — | ✓ | QL |
Medicare Part D
21 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Troy Medicare (HMO) | Tier 2 - Generic | — | — | ✓ 30 per 30 days | QL |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | Tier 2 - Generic | — | — | ✓ 30 per 30 days | QL |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Tier 2 - Generic | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Signature (PPO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Signature (HMO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Dual (HMO D-SNP) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Signature (HMO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Value Plus (HMO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Prime (HMO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Signature Care (HMO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Full Dual Care (HMO D-SNP) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Chronic Care (HMO C-SNP) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Enhanced (HMO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Signature (PPO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Enhanced (PPO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Enhanced (PPO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Signature Extra (PPO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Signature (PPO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Signature Giveback (PPO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |
| Aetna Medicare Signature (PPO) | Tier 4 - Non-Preferred | — | — | ✓ 30 per 30 days | QL |