FillMapAtlas $8,400 HSA Bronze

Does Atlas $8,400 HSA Bronze cover methylphenidate?

Atlas $8,400 HSA Bronze
20173-20173WI0130027-0 · ACA · ACA Marketplace
methylphenidate
methylphenidateunder Atlas $8,400 HSA Bronze
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$0per 30-day fill

Your plan’s deductible comes first — you pay the full price until it is met.

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.

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
Specialty
Approval first
Not needed
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 (29)

  • 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletAmount limit
  • 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletAmount limit
  • 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral TabletAmount limit
  • 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral TabletAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral CapsuleAmount limit
  • 30/70 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleAmount limit
  • 40/60 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleAmount limit
  • 40/60 Release 24 HR methylphenidate hydrochloride 15 MG Extended Release Oral CapsuleAmount limit
  • 40/60 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleAmount limit
  • 40/60 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleAmount limit
  • 40/60 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleAmount limit
  • 40/60 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral CapsuleAmount limit
  • 40/60 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleAmount limit
  • 50/50 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleAmount limit
  • 8 HR methylphenidate hydrochloride 10 MG Extended Release Oral TabletAmount limit
  • 8 HR methylphenidate hydrochloride 20 MG Extended Release Oral TabletAmount limit
  • methylphenidate hydrochloride 1 MG/ML Oral SolutionAmount limit
  • methylphenidate hydrochloride 10 MG Oral TabletAmount limit
  • methylphenidate hydrochloride 2 MG/ML Oral SolutionAmount limit
  • methylphenidate hydrochloride 20 MG Oral TabletAmount limit
  • methylphenidate hydrochloride 5 MG Oral TabletAmount limit

← All coverage for methylphenidate