ADDERALL XR 2.5/2.5/2.5/2.5 mg Capsule, Extended Release
Also known as Dextroamphetamine Sulfate, Dextroamphetamine Saccharate, Amphetamine Sulfate And Amphetamine Aspartate. Coverage in Idaho and Utah (CMS PDP Region 31).
Not on any stand-alone Part D formulary in Idaho and Utah
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 31 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.