ADDERALL XR 6.25/6.25/6.25/6.25 mg Capsule, Extended Release
Also known as Dextroamphetamine Sulfate, Dextroamphetamine Saccharate, Amphetamine Sulfate And Amphetamine Aspartate. Coverage in Puerto Rico (CMS PDP Region 38).
Not on any stand-alone Part D formulary in Puerto Rico
None of the 3 stand-alone Part D (PDP) plans in CMS PDP Region 38 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.