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 Maine and New Hampshire (CMS PDP Region 01).
Not on any stand-alone Part D formulary in Maine and New Hampshire
None of the 9 stand-alone Part D (PDP) plans in CMS PDP Region 01 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.