Sign In
Coverage
Check coverage
Home
Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
Kaiser Foundation Health Plan of the Northwest
Kaiser Foundation Health Plan of the Northwest Coverage for Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
All
5
Commercial
3
Health Exchange
2
Commercial
Commercial - HMO
PA Required
Step Therapy
No Quantity Limit
See Details
Commercial - PPO
PA Required
Step Therapy
No Quantity Limit
See Details
Commercial - Other Insurer
PA Required
Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
Step Therapy
No Quantity Limit
See Details
Health Exchange - PPO - Health Insurance Exchange
PA Required
Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
Check medication interactions