Does AmeriHealth Caritas VIP Care (HMO D-SNP) cover methylphenidate?
AmeriHealth Caritas VIP Care (HMO D-SNP)
H0738-001-0 · MA_LOCAL · Medicare Part D
methylphenidate
Your Extra Help level
Everyone on this plan has Medicare and Medicaid, which qualifies you for Extra Help automatically — so the figures below already use the statutory copays, not this plan’s published cost sharing. Nothing here is saved.
Full Extra Help: no deductible, and at most $5.10 generic or $12.65 brand-name per fill.
Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.
methylphenidateunder AmeriHealth Caritas VIP Care (HMO D-SNP)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
25%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. Part D caps what you pay out of pocket at $2,100 for 2026. Before that, you pay the full price until you have paid $615 this year.
This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.
Amount limit applies — how much depends on the strength you are prescribed — the cap for each one is listed below. You can still fill it; more than that needs your plan's approval, which your doctor's office requests.
- Tier
- Tier 2
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- Varies by strength
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 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.
Covered forms and strengths (37)
- 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletTier 2120 tablets per 30 days
- 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletTier 230 tablets per 30 days
- 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral TabletTier 260 tablets per 30 days
- 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral TabletTier 230 tablets per 30 days
- 24 HR methylphenidate hydrochloride 72 MG Extended Release Oral TabletTier 230 tablets per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 15 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleTier 230 capsules per 30 days
- 8 HR methylphenidate hydrochloride 10 MG Extended Release Oral TabletTier 230 tablets per 30 days
- 8 HR methylphenidate hydrochloride 20 MG Extended Release Oral TabletTier 290 tablets per 30 days
- BX Rating 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletTier 2120 tablets per 30 days
- BX Rating 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletTier 230 tablets per 30 days
- BX Rating 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral TabletTier 260 tablets per 30 days
- BX Rating 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral TabletTier 230 tablets per 30 days
- methylphenidate hydrochloride 1 MG/ML Oral SolutionTier 21800 mL per 30 days
- methylphenidate hydrochloride 10 MG Chewable TabletTier 2180 tablets per 30 days
- methylphenidate hydrochloride 10 MG Oral TabletTier 290 tablets per 30 days
- methylphenidate hydrochloride 2 MG/ML Oral SolutionTier 2900 mL per 30 days
- methylphenidate hydrochloride 2.5 MG Chewable TabletTier 290 tablets per 30 days
- methylphenidate hydrochloride 20 MG Oral TabletTier 290 tablets per 30 days
- methylphenidate hydrochloride 5 MG Chewable TabletTier 290 tablets per 30 days
- methylphenidate hydrochloride 5 MG Oral TabletTier 290 tablets per 30 days