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 New Jersey (CMS PDP Region 04).
Not on any stand-alone Part D formulary in New Jersey
None of the 12 stand-alone Part D (PDP) plans in CMS PDP Region 04 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.