Does Univera Medicare Dual (HMO D-SNP) cover methylphenidate?
Everyone on this plan has Medicare and Medicaid, which qualifies you for Extra Help automatically — so the figures below already use the statutory copays, not this plan’s published cost sharing. Nothing here is saved.
Full Extra Help: no deductible, and at most $5.10 generic or $12.65 brand-name per fill.
Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.
Part D caps what you pay out of pocket at $2,100 for 2026. Before that, you pay the full price until you have paid $615 this year.
This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.
- Tier
- Tier 2
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- Varies by strength
Covered forms and strengths (38)
- 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletTier 390 tablets per 30 days
- 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletTier 390 tablets per 30 days
- 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral TabletTier 360 tablets per 30 days
- 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral TabletTier 360 tablets per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleTier 390 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleTier 390 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleTier 360 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleTier 330 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral CapsuleTier 330 capsules per 30 days
- 30/70 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleTier 330 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleTier 430 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 15 MG Extended Release Oral CapsuleTier 430 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleTier 330 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleTier 430 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleTier 330 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral CapsuleTier 430 capsules per 30 days
- 40/60 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleTier 330 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleTier 390 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleTier 390 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleTier 360 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleTier 330 capsules per 30 days
- 50/50 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleTier 330 capsules per 30 days
- 8 HR methylphenidate hydrochloride 10 MG Extended Release Oral TabletTier 2
- 8 HR methylphenidate hydrochloride 20 MG Extended Release Oral TabletTier 2
- 9 HR methylphenidate 1.11 MG/HR Transdermal SystemTier 430 patches per 30 days
- 9 HR methylphenidate 1.67 MG/HR Transdermal SystemTier 430 patches per 30 days
- 9 HR methylphenidate 2.22 MG/HR Transdermal SystemTier 430 patches per 30 days
- 9 HR methylphenidate 3.33 MG/HR Transdermal SystemTier 430 patches per 30 days
- BX Rating 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletTier 390 tablets per 30 days
- BX Rating 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletTier 390 tablets per 30 days
- BX Rating 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral TabletTier 360 tablets per 30 days
- BX Rating 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral TabletTier 360 tablets per 30 days
- methylphenidate hydrochloride 10 MG Chewable TabletTier 3
- methylphenidate hydrochloride 10 MG Oral TabletTier 2
- methylphenidate hydrochloride 2.5 MG Chewable TabletTier 3
- methylphenidate hydrochloride 20 MG Oral TabletTier 2
- methylphenidate hydrochloride 5 MG Chewable TabletTier 3
- methylphenidate hydrochloride 5 MG Oral TabletTier 2