Does Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) cover methylphenidate?
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
29276-29276OH0970007-0 · ACA · ACA Marketplace
methylphenidate
methylphenidateunder Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
Covered — requires prior authorization
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.
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
- Tier one
- 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 (26)
- 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletApproval first
- 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletApproval first
- 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral TabletApproval 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 first
- 30/70 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleApproval first
- 30/70 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleApproval first
- 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 first
- 50/50 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleApproval first
- 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 first
- 8 HR methylphenidate hydrochloride 20 MG Extended Release Oral TabletApproval firstAmount limit
- BX Rating 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletApproval first
- BX Rating 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletApproval first
- 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 Oral TabletApproval first
- methylphenidate hydrochloride 2 MG/ML Oral SolutionApproval firstAmount limit
- methylphenidate hydrochloride 20 MG Oral TabletApproval firstAmount limit
- methylphenidate hydrochloride 5 MG Oral TabletApproval first