FillMapGold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx · 68445-68445AZ0610030-0About this plan

Does Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx cover methylphenidate?

1 · Your plan

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

68445-68445AZ0610030-0 · ACA · ACA Marketplace

2 · Your medication

methylphenidate

methylphenidateunder Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Covered — just walk in

Nothing to clear first — take the prescription to an in-network pharmacy.

What you'd pay

$30per 30-day fill

From the first fill — no deductible on this drug.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

Tier: Preferred brand
Approval first: Not needed
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 (56)

24 HR methylphenidate hydrochloride 18 MG Extended Release Oral Tablet
24 HR methylphenidate hydrochloride 18 MG Extended Release Oral Tablet [Concerta]
24 HR methylphenidate hydrochloride 27 MG Extended Release Oral Tablet
24 HR methylphenidate hydrochloride 27 MG Extended Release Oral Tablet [Concerta]
24 HR methylphenidate hydrochloride 36 MG Extended Release Oral Tablet
24 HR methylphenidate hydrochloride 36 MG Extended Release Oral Tablet [Concerta]
24 HR methylphenidate hydrochloride 54 MG Extended Release Oral Tablet
24 HR methylphenidate hydrochloride 54 MG Extended Release Oral Tablet [Concerta]
30/70 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule
30/70 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral Capsule
30/70 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral Capsule
30/70 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral Capsule
30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule
30/70 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral Capsule
40/60 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule
40/60 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule [Aptensio]
40/60 Release 24 HR methylphenidate hydrochloride 15 MG Extended Release Oral Capsule
40/60 Release 24 HR methylphenidate hydrochloride 15 MG Extended Release Oral Capsule [Aptensio]
40/60 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral Capsule
40/60 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral Capsule [Aptensio]
40/60 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral Capsule
40/60 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral Capsule [Aptensio]
40/60 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral Capsule
40/60 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral Capsule [Aptensio]
40/60 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule
40/60 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule [Aptensio]
40/60 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral Capsule
40/60 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral Capsule [Aptensio]
50/50 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule
50/50 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule [Ritalin]
50/50 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral Capsule
50/50 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral Capsule [Ritalin]
50/50 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral Capsule
50/50 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral Capsule [Ritalin]
50/50 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral Capsule
50/50 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral Capsule [Ritalin]
50/50 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral Capsule
8 HR methylphenidate hydrochloride 10 MG Extended Release Oral Tablet
8 HR methylphenidate hydrochloride 20 MG Extended Release Oral Tablet
BX Rating 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral Tablet

← All coverage for methylphenidate