FillMap15983pa0030003 · 15983-15983PA0030003-0About this plan

Does 15983pa0030003 cover amphetamine?

1 · Your plan

15983pa0030003

15983-15983PA0030003-0 · ACA · ACA Marketplace

2 · Your medication

amphetamine

amphetamineunder 15983pa0030003

Covered — requires prior authorization

Your plan has to approve it first — your doctor’s office handles it.

What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

Tier: Non preferred generic non preferred brand
Approval first: Required
Try another first: No
Amount limit: None

Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (2)

amphetamine sulfate 10 MG Oral TabletApproval first
amphetamine sulfate 5 MG Oral TabletApproval first

← All coverage for amphetamine