FillMapSanford Individual Simplicity Standardized $6,000

Does Sanford Individual Simplicity Standardized $6,000 cover methylphenidate?

Sanford Individual Simplicity Standardized $6,000
89364-89364ND0120017-0 · ACA · ACA Marketplace
methylphenidate
methylphenidateunder Sanford Individual Simplicity Standardized $6,000
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$20per 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.

Tier
Generic
Approval first
Not needed
Try another first
No
Amount limit
None
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 (72)

  • 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral Tablet
  • 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral Tablet [Concerta]
  • 24 HR methylphenidate hydrochloride 18 MG Extended Release Oral Tablet [Relexxii]
  • 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral Tablet
  • 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral Tablet [Concerta]
  • 24 HR methylphenidate hydrochloride 27 MG Extended Release Oral Tablet [Relexxii]
  • 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral Tablet
  • 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral Tablet [Concerta]
  • 24 HR methylphenidate hydrochloride 36 MG Extended Release Oral Tablet [Relexxii]
  • 24 HR methylphenidate hydrochloride 5 MG/ML Extended Release Suspension [Quillivant]
  • 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral Tablet
  • 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral Tablet [Concerta]
  • 24 HR methylphenidate hydrochloride 54 MG Extended Release Oral Tablet [Relexxii]
  • 30/70 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule
  • 30/70 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule [Metadate]
  • 30/70 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral Capsule
  • 30/70 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral Capsule [Metadate]
  • 30/70 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral Capsule
  • 30/70 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral Capsule [Metadate]
  • 30/70 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral Capsule
  • 30/70 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral Capsule [Metadate]
  • 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule
  • 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule [Metadate]
  • 30/70 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral Capsule
  • 30/70 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral Capsule [Metadate]
  • 40/60 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule
  • 40/60 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule [Aptensio]
  • 40/60 Release 24 HR methylphenidate hydrochloride 15 MG Extended Release Oral Capsule
  • 40/60 Release 24 HR methylphenidate hydrochloride 15 MG Extended Release Oral Capsule [Aptensio]
  • 40/60 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral Capsule
  • 40/60 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral Capsule [Aptensio]
  • 40/60 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral Capsule
  • 40/60 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral Capsule [Aptensio]
  • 40/60 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral Capsule
  • 40/60 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral Capsule [Aptensio]
  • 40/60 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule
  • 40/60 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule [Aptensio]
  • 40/60 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral Capsule
  • 40/60 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral Capsule [Aptensio]
  • 50/50 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule

← All coverage for methylphenidate