FillMap58081ga0010063

Does 58081ga0010063 cover lamotrigine?

58081ga0010063
58081-58081GA0010063-0 · ACA · ACA Marketplace
lamotrigine
lamotrigineunder 58081ga0010063
Covered — some forms require prior authorization
10 of 19 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

Tier
Generic
Approval first
Required
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 (19)

  • {14 (lamotrigine 100 MG Oral Tablet) / 84 (lamotrigine 25 MG Oral Tablet) } Pack
  • {35 (lamotrigine 25 MG Oral Tablet) } Pack
  • {7 (lamotrigine 100 MG Oral Tablet) / 42 (lamotrigine 25 MG Oral Tablet) } Pack
  • 24 HR lamotrigine 100 MG Extended Release Oral TabletApproval first
  • 24 HR lamotrigine 200 MG Extended Release Oral TabletApproval first
  • 24 HR lamotrigine 25 MG Extended Release Oral TabletApproval first
  • 24 HR lamotrigine 250 MG Extended Release Oral TabletApproval first
  • 24 HR lamotrigine 300 MG Extended Release Oral TabletApproval first
  • 24 HR lamotrigine 50 MG Extended Release Oral TabletApproval first
  • lamotrigine 100 MG Disintegrating Oral TabletApproval first
  • lamotrigine 100 MG Oral Tablet
  • lamotrigine 150 MG Oral Tablet
  • lamotrigine 200 MG Disintegrating Oral TabletApproval first
  • lamotrigine 200 MG Oral Tablet
  • lamotrigine 25 MG Disintegrating Oral TabletApproval first
  • lamotrigine 25 MG Oral Tablet
  • lamotrigine 25 MG Tablet for Oral Suspension
  • lamotrigine 5 MG Tablet for Oral Suspension
  • lamotrigine 50 MG Disintegrating Oral TabletApproval first

← All coverage for lamotrigine