FillMapBlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health ®

Does BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health ® cover methylphenidate?

BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health ®
14002-14002TN0400473-0 · ACA · ACA Marketplace
methylphenidate
methylphenidateunder BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health ®
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$15per 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
Required
Try another first
No
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.

Covered forms and strengths (37)

  • 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletApproval firstAmount limit
  • 24 HR methylphenidate hydrochloride 20 MG Chewable Extended Release Oral Tablet [QuilliChew]Approval firstAmount limit
  • 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletApproval firstAmount limit
  • 24 HR methylphenidate hydrochloride 30 MG Chewable Extended Release Oral Tablet [QuilliChew]Approval firstAmount limit
  • 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral TabletApproval firstAmount limit
  • 24 HR methylphenidate hydrochloride 40 MG Chewable Extended Release Oral Tablet [QuilliChew]Approval firstAmount limit
  • 24 HR methylphenidate hydrochloride 5 MG/ML Extended Release Suspension [Quillivant]Approval firstAmount limit
  • 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral TabletApproval firstAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleApproval firstAmount limit
  • 8 HR methylphenidate hydrochloride 10 MG Extended Release Oral TabletApproval firstAmount limit
  • 8 HR methylphenidate hydrochloride 20 MG Extended Release Oral TabletApproval firstAmount limit
  • 9 HR methylphenidate 1.11 MG/HR Transdermal SystemApproval firstAmount limit
  • 9 HR methylphenidate 1.67 MG/HR Transdermal SystemApproval firstAmount limit
  • 9 HR methylphenidate 2.22 MG/HR Transdermal SystemApproval firstAmount limit
  • 9 HR methylphenidate 3.33 MG/HR Transdermal SystemApproval firstAmount limit
  • BX Rating 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletApproval firstAmount limit
  • BX Rating 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletApproval firstAmount limit
  • BX Rating 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral TabletApproval firstAmount limit
  • BX Rating 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral TabletApproval firstAmount limit
  • methylphenidate hydrochloride 1 MG/ML Oral SolutionApproval firstAmount limit
  • methylphenidate hydrochloride 10 MG Chewable TabletApproval firstAmount limit
  • methylphenidate hydrochloride 10 MG Oral TabletApproval firstAmount limit
  • methylphenidate hydrochloride 2 MG/ML Oral SolutionApproval firstAmount limit
  • methylphenidate hydrochloride 2.5 MG Chewable TabletApproval firstAmount limit
  • methylphenidate hydrochloride 20 MG Oral TabletApproval firstAmount limit
  • methylphenidate hydrochloride 5 MG Chewable TabletApproval firstAmount limit
  • methylphenidate hydrochloride 5 MG Oral TabletApproval firstAmount limit

← All coverage for methylphenidate