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Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
Peach State Health Plan
Peach State Health Plan Coverage for Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
All
2
Health Exchange
1
Managed Medicaid
1
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
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 Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
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Does Peach State Health Plan Cover Lisdexamfetamine Dimesylate? 2 Plans (2026)