FillMapAscension St. John Empower Silver

Does Ascension St. John Empower Silver cover lisdexamfetamine?

Ascension St. John Empower Silver
98905-98905OK0340003-0 · ACA · ACA Marketplace
lisdexamfetamine
lisdexamfetamineunder Ascension St. John Empower Silver
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$140per 30-day fill

Your plan’s deductible comes first — you pay the full price until it is met.

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
Non 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.

Covered forms and strengths (26)

  • lisdexamfetamine dimesylate 10 MG Chewable Tablet
  • lisdexamfetamine dimesylate 10 MG Chewable Tablet [Vyvanse]
  • lisdexamfetamine dimesylate 10 MG Oral Capsule
  • lisdexamfetamine dimesylate 10 MG Oral Capsule [Vyvanse]
  • lisdexamfetamine dimesylate 20 MG Chewable Tablet
  • lisdexamfetamine dimesylate 20 MG Chewable Tablet [Vyvanse]
  • lisdexamfetamine dimesylate 20 MG Oral Capsule
  • lisdexamfetamine dimesylate 20 MG Oral Capsule [Vyvanse]
  • lisdexamfetamine dimesylate 30 MG Chewable Tablet
  • lisdexamfetamine dimesylate 30 MG Chewable Tablet [Vyvanse]
  • lisdexamfetamine dimesylate 30 MG Oral Capsule
  • lisdexamfetamine dimesylate 30 MG Oral Capsule [Vyvanse]
  • lisdexamfetamine dimesylate 40 MG Chewable Tablet
  • lisdexamfetamine dimesylate 40 MG Chewable Tablet [Vyvanse]
  • lisdexamfetamine dimesylate 40 MG Oral Capsule
  • lisdexamfetamine dimesylate 40 MG Oral Capsule [Vyvanse]
  • lisdexamfetamine dimesylate 50 MG Chewable Tablet
  • lisdexamfetamine dimesylate 50 MG Chewable Tablet [Vyvanse]
  • lisdexamfetamine dimesylate 50 MG Oral Capsule
  • lisdexamfetamine dimesylate 50 MG Oral Capsule [Vyvanse]
  • lisdexamfetamine dimesylate 60 MG Chewable Tablet
  • lisdexamfetamine dimesylate 60 MG Chewable Tablet [Vyvanse]
  • lisdexamfetamine dimesylate 60 MG Oral Capsule
  • lisdexamfetamine dimesylate 60 MG Oral Capsule [Vyvanse]
  • lisdexamfetamine dimesylate 70 MG Oral Capsule
  • lisdexamfetamine dimesylate 70 MG Oral Capsule [Vyvanse]

← All coverage for lisdexamfetamine