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Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
Providence Health Plan
Providence Health Plan Coverage for Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
All
6
Commercial
3
Health Exchange
1
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
No PA
No Step Therapy
Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
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Does Providence Health Plan Cover Lisdexamfetamine Dimesylate? 6 Plans (2026)