FillMapBlue Pee Dee Standard Silver · 26065-26065SC0730006-0About this plan

Does Blue Pee Dee Standard Silver cover lisdexamfetamine?

1 · Your plan

Blue Pee Dee Standard Silver

26065-26065SC0730006-0 · ACA · ACA Marketplace

2 · Your medication

lisdexamfetamine

lisdexamfetamineunder Blue Pee Dee Standard Silver

Covered — some forms require step therapy

13 of 26 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.

What you'd pay

$20per 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.

Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.

Tier: Generic
Approval first: Not needed
Try another first: Required
Amount limit: Yes

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 (26)

lisdexamfetamine dimesylate 10 MG Chewable TabletAmount limit
lisdexamfetamine dimesylate 10 MG Chewable Tablet [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 10 MG Oral CapsuleAmount limit
lisdexamfetamine dimesylate 10 MG Oral Capsule [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 20 MG Chewable TabletAmount limit
lisdexamfetamine dimesylate 20 MG Chewable Tablet [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 20 MG Oral CapsuleAmount limit
lisdexamfetamine dimesylate 20 MG Oral Capsule [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 30 MG Chewable TabletAmount limit
lisdexamfetamine dimesylate 30 MG Chewable Tablet [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 30 MG Oral CapsuleAmount limit
lisdexamfetamine dimesylate 30 MG Oral Capsule [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 40 MG Chewable TabletAmount limit
lisdexamfetamine dimesylate 40 MG Chewable Tablet [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 40 MG Oral CapsuleAmount limit
lisdexamfetamine dimesylate 40 MG Oral Capsule [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 50 MG Chewable TabletAmount limit
lisdexamfetamine dimesylate 50 MG Chewable Tablet [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 50 MG Oral CapsuleAmount limit
lisdexamfetamine dimesylate 50 MG Oral Capsule [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 60 MG Chewable TabletAmount limit
lisdexamfetamine dimesylate 60 MG Chewable Tablet [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 60 MG Oral CapsuleAmount limit
lisdexamfetamine dimesylate 60 MG Oral Capsule [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 70 MG Oral CapsuleAmount limit
lisdexamfetamine dimesylate 70 MG Oral Capsule [Vyvanse]Try another firstAmount limit

← All coverage for lisdexamfetamine