Quillichew
Generic: methylphenidate
20MG, 30MG, 40MG
Also known as:
QUILLICHEW ER CHER 20MG, 30MG, 40MG
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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.
Ambetter (Centene)
34 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Silver with Atrium Health + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Gold with Atrium Health + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Elite Bronze
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Clear Silver with $0 Insulin Options
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Expanded Bronze
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Silver
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Gold
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze with Atrium Health
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Expanded Bronze with Atrium Health
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Silver with Atrium Health
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Gold with Atrium Health
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Complete Gold + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Complete Gold
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Elite Bronze + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Streamlined Silver with Atrium Health
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Streamlined Silver
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Expanded Bronze + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Silver + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Gold + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via methylphenidate |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
Blue Cross Blue Shield Federal
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Standard Option 2026
via Ritalin |
Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
|
BCBS Federal Standard Option 2026
via Concerta |
Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
|
BCBS Federal Basic Option 2026
via Concerta |
Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
| BCBS Federal Standard Option 2026 | Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
| BCBS Federal Basic Option 2026 | Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
|
BCBS Federal Basic Option 2026
via Ritalin |
Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
Blue Cross Blue Shield of NC
20 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Local 2026
via Ritalin |
Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
|
BCBSNC Blue Care 2026
via Ritalin |
Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
|
BCBSNC Blue Value 2026
via Ritalin |
Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
|
BCBSNC Blue Advantage 2026
via Ritalin |
Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Ritalin |
Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
|
BCBSNC Blue Advantage 2026
via Aptensio XR |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Aptensio XR |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Local 2026
via Aptensio XR |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Care 2026
via Aptensio XR |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Value 2026
via Aptensio XR |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Advantage 2026
via Concerta |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Concerta |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Local 2026
via Concerta |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Care 2026
via Concerta |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Value 2026
via Concerta |
Tier 2 - Medium Cost Generic/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 |
|
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 Advantage 2026
via Methylphenidate Hydrochlo |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
Cigna
20 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Connect Silver RD CMS Standard
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Bronze 6500 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Bronze 5500 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Silver 5000 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Silver 3600 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Silver 3000 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Bronze CMS Standard
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Silver CMS Standard
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Gold CMS Standard
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect myDiabetesCare Bronze
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect myDiabetesCare Silver
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Gold 1500 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Bronze RD 5000 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Bronze RD 6000 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Bronze RD CMS Standard
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Silver RD 3500 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Silver RD 5000 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Silver RD 2200 Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Gold RD CMS Standard
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
|
Connect Bronze 7000 HSA Indiv Med Deductible
via methylphenidate |
Tier 2 - Generic | — | — | ✓ | QL |
NC Medicaid PDL
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC Medicaid Preferred Drug List 2026
via Daytrana |
Preferred | — | — | — | None |
|
NC Medicaid Preferred Drug List 2026
via Concerta |
Preferred | — | — | — | None |
|
NC Medicaid Preferred Drug List 2026
via methylphenidate |
Non-Preferred | — | — | — | None |
|
NC Medicaid Preferred Drug List 2026
via Ritalin |
Non-Preferred | — | — | — | None |
|
NC Medicaid Preferred Drug List 2026
via Aptensio XR |
Non-Preferred | — | — | — | None |
NC State Health Plan
9 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 70/30 Standard PPO 2026
via Ritalin |
Tier 3 - Non-Preferred Brand | ✓ | — | ✓ | PA | QL |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Ritalin |
Tier 3 - Non-Preferred Brand | ✓ | — | ✓ | PA | QL |
|
NC State Health Plan - HDHP 2026
via Ritalin |
Tier 3 - Non-Preferred Brand | ✓ | — | ✓ | PA | QL |
| NC State Health Plan - 70/30 Standard PPO 2026 | Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Cotempla Xr-Odt |
Not Covered | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Cotempla Xr-Odt |
Not Covered | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Cotempla Xr-Odt |
Not Covered | — | — | — | None |