FillMapCommunityCare Gold L21 · 98905-98905OK0130041-0About this plan

Does CommunityCare Gold L21 cover lisdexamfetamine?

1 · Your plan

CommunityCare Gold L21

98905-98905OK0130041-0 · ACA · ACA Marketplace

2 · Your medication

lisdexamfetamine

lisdexamfetamineunder CommunityCare Gold L21

Covered — just walk in

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

What you'd pay

$95per 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: 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.

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 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