methylphenidate hcl er (cd)

10 MG — Capsule

amphetamines

Also known as: Methylphenidate HCl ER (CD) Oral Capsule Extended Release

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Checked: 10 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 2 - Generic QL
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 2 - Generic QL
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 2 - Generic QL
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 2 - Generic QL
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 2 - Generic QL
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 2 - Generic QL
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 2 - Generic QL
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 2 - Generic QL
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 2 - Generic QL
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 2 - Generic QL
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 10 hours, 17 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
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
Troy Medicare (HMO) Tier 2 - Generic 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 (HMO) 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 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 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 Enhanced (HMO) 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
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