FillMapHSA Qualified 7500 Bronze - Choice Network

Does HSA Qualified 7500 Bronze - Choice Network cover lisdexamfetamine?

HSA Qualified 7500 Bronze - Choice Network
56707-56707OR1420003-0 · ACA · ACA Marketplace
lisdexamfetamine
lisdexamfetamineunder HSA Qualified 7500 Bronze - Choice Network
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
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
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 (26)

  • lisdexamfetamine dimesylate 10 MG Chewable TabletAmount limit
  • lisdexamfetamine dimesylate 10 MG Chewable Tablet [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 10 MG Oral CapsuleAmount limit
  • lisdexamfetamine dimesylate 10 MG Oral Capsule [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 20 MG Chewable TabletAmount limit
  • lisdexamfetamine dimesylate 20 MG Chewable Tablet [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 20 MG Oral CapsuleAmount limit
  • lisdexamfetamine dimesylate 20 MG Oral Capsule [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 30 MG Chewable TabletAmount limit
  • lisdexamfetamine dimesylate 30 MG Chewable Tablet [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 30 MG Oral CapsuleAmount limit
  • lisdexamfetamine dimesylate 30 MG Oral Capsule [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 40 MG Chewable TabletAmount limit
  • lisdexamfetamine dimesylate 40 MG Chewable Tablet [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 40 MG Oral CapsuleAmount limit
  • lisdexamfetamine dimesylate 40 MG Oral Capsule [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 50 MG Chewable TabletAmount limit
  • lisdexamfetamine dimesylate 50 MG Chewable Tablet [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 50 MG Oral CapsuleAmount limit
  • lisdexamfetamine dimesylate 50 MG Oral Capsule [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 60 MG Chewable TabletAmount limit
  • lisdexamfetamine dimesylate 60 MG Chewable Tablet [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 60 MG Oral CapsuleAmount limit
  • lisdexamfetamine dimesylate 60 MG Oral Capsule [Vyvanse]Amount limit
  • lisdexamfetamine dimesylate 70 MG Oral CapsuleAmount limit
  • lisdexamfetamine dimesylate 70 MG Oral Capsule [Vyvanse]Amount limit

← All coverage for lisdexamfetamine