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Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
Blue Cross and Blue Shield of Illinois
Blue Cross and Blue Shield of Illinois Coverage for Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
All
7
Commercial
3
Health Exchange
3
Managed Medicaid
1
Commercial
Commercial - Employer
No PA
No Step Therapy
Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
Quantity Limit
See Details
Commercial - HMO
No PA
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Health Exchange - POS - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
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Does Blue Cross and Blue Shield of Illinois Cover Dextroamphetamine Sulfate? 7 Plans (2026)