FillMapWellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) · 47501-47501TX0040008-0About this plan

Does Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) cover lisdexamfetamine?

1 · Your plan

Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

47501-47501TX0040008-0 · ACA · ACA Marketplace

2 · Your medication

lisdexamfetamine

lisdexamfetamineunder Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Covered — the conditions depend on which form

Not the same for every form: 13 of 26 need your plan’s approval first, and 13 of 26 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.

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 two
Approval first: Required
Try another first: Required
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.

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 TabletApproval first
lisdexamfetamine dimesylate 10 MG Chewable Tablet [Vyvanse]Try another first
lisdexamfetamine dimesylate 10 MG Oral CapsuleApproval first
lisdexamfetamine dimesylate 10 MG Oral Capsule [Vyvanse]Try another first
lisdexamfetamine dimesylate 20 MG Chewable TabletApproval first
lisdexamfetamine dimesylate 20 MG Chewable Tablet [Vyvanse]Try another first
lisdexamfetamine dimesylate 20 MG Oral CapsuleApproval first
lisdexamfetamine dimesylate 20 MG Oral Capsule [Vyvanse]Try another first
lisdexamfetamine dimesylate 30 MG Chewable TabletApproval first
lisdexamfetamine dimesylate 30 MG Chewable Tablet [Vyvanse]Try another first
lisdexamfetamine dimesylate 30 MG Oral CapsuleApproval first
lisdexamfetamine dimesylate 30 MG Oral Capsule [Vyvanse]Try another first
lisdexamfetamine dimesylate 40 MG Chewable TabletApproval firstAmount limit
lisdexamfetamine dimesylate 40 MG Chewable Tablet [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 40 MG Oral CapsuleApproval firstAmount limit
lisdexamfetamine dimesylate 40 MG Oral Capsule [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 50 MG Chewable TabletApproval firstAmount limit
lisdexamfetamine dimesylate 50 MG Chewable Tablet [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 50 MG Oral CapsuleApproval firstAmount limit
lisdexamfetamine dimesylate 50 MG Oral Capsule [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 60 MG Chewable TabletApproval firstAmount limit
lisdexamfetamine dimesylate 60 MG Chewable Tablet [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 60 MG Oral CapsuleApproval firstAmount limit
lisdexamfetamine dimesylate 60 MG Oral Capsule [Vyvanse]Try another firstAmount limit
lisdexamfetamine dimesylate 70 MG Oral CapsuleApproval firstAmount limit
lisdexamfetamine dimesylate 70 MG Oral Capsule [Vyvanse]Try another firstAmount limit

← All coverage for lisdexamfetamine