FillMapModa Select Alaska Bronze 6500

Does Moda Select Alaska Bronze 6500 cover lamotrigine?

Moda Select Alaska Bronze 6500
73836-73836AK0930003-0 · ACA · ACA Marketplace
lamotrigine
lamotrigineunder Moda Select Alaska Bronze 6500
Covered — some forms require step therapy
5 of 33 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay
$0per 30-day fill

From the first fill — no deductible on this drug.

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
Non preferred brand
Approval first
Not needed
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.

Covered forms and strengths (33)

  • {14 (24 HR lamotrigine 100 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 200 MG Extended Release Oral Tablet [Lamictal]) / 14 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Green Patient Titration Kit (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone, and Not Taking Valproate)]
  • {14 (lamotrigine 100 MG Disintegrating Oral Tablet) / 42 (lamotrigine 50 MG Disintegrating Oral Tablet) } Pack
  • {14 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 84 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Green (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone and Not Taking Valproate)]
  • {14 (lamotrigine 100 MG Oral Tablet) / 84 (lamotrigine 25 MG Oral Tablet) } Pack
  • {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)]
  • {21 (lamotrigine 25 MG Disintegrating Oral Tablet) / 7 (lamotrigine 50 MG Disintegrating Oral Tablet) } Pack
  • {35 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Blue (for Patients Taking Valproate)]
  • {35 (lamotrigine 25 MG Oral Tablet) } Pack
  • {7 (24 HR lamotrigine 100 MG Extended Release Oral Tablet [Lamictal]) / 14 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 14 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Orange Patient Titration Kit (for Patients Not Taking Carbamazepine, Phenytoin, Phenobarbital, Primidone, or Valproate)]
  • {7 (lamotrigine 100 MG Disintegrating Oral Tablet) / 14 (lamotrigine 25 MG Disintegrating Oral Tablet) / 14 (lamotrigine 50 MG Disintegrating Oral Tablet) } Pack
  • {7 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 42 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Orange (for Patients Not Taking Carbamazepine, Phenytoin, Phenobarbital, Primidone, or Valproate)]
  • {7 (lamotrigine 100 MG Oral Tablet) / 42 (lamotrigine 25 MG Oral Tablet) } Pack
  • 24 HR lamotrigine 100 MG Extended Release Oral TabletAmount limit
  • 24 HR lamotrigine 200 MG Extended Release Oral TabletAmount limit
  • 24 HR lamotrigine 25 MG Extended Release Oral TabletAmount limit
  • 24 HR lamotrigine 250 MG Extended Release Oral TabletAmount limit
  • 24 HR lamotrigine 300 MG Extended Release Oral TabletAmount limit
  • 24 HR lamotrigine 50 MG Extended Release Oral TabletAmount limit
  • lamotrigine 10 MG/ML Oral Suspension [Subvenite]Try another firstAmount limit
  • lamotrigine 100 MG Disintegrating Oral TabletTry another firstAmount limit
  • lamotrigine 100 MG Oral Tablet
  • lamotrigine 100 MG Oral Tablet [Subvenite]
  • lamotrigine 150 MG Oral Tablet
  • lamotrigine 150 MG Oral Tablet [Subvenite]
  • lamotrigine 200 MG Disintegrating Oral TabletTry another firstAmount limit
  • lamotrigine 200 MG Oral Tablet
  • lamotrigine 200 MG Oral Tablet [Subvenite]
  • lamotrigine 25 MG Disintegrating Oral TabletTry another firstAmount limit
  • lamotrigine 25 MG Oral Tablet
  • lamotrigine 25 MG Oral Tablet [Subvenite]
  • lamotrigine 25 MG Tablet for Oral Suspension
  • lamotrigine 5 MG Tablet for Oral Suspension
  • lamotrigine 50 MG Disintegrating Oral TabletTry another firstAmount limit

← All coverage for lamotrigine