ADDERALL XR 3.75/3.75/3.75/3.75 mg Capsule, Extended Release
Also known as Dextroamphetamine Sulfate, Dextroamphetamine Saccharate, Amphetamine Sulfate And Amphetamine Aspartate. Coverage in Louisiana (CMS PDP Region 21).
Not on any stand-alone Part D formulary in Louisiana
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 21 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.