FillMapWellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice · 13219-13219NH0010001-0About this plan

Does WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice cover methylphenidate?

1 · Your plan

WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice

13219-13219NH0010001-0 · ACA · ACA Marketplace

2 · Your medication

methylphenidate

methylphenidateunder WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice

Covered — requires prior authorization

Your plan has to approve it first — your doctor’s office handles it.

What you'd pay

$15per 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: Generic
Approval first: Required
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.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (22)

24 HR methylphenidate hydrochloride 18 MG Extended Release Oral TabletApproval firstAmount limit
24 HR methylphenidate hydrochloride 27 MG Extended Release Oral TabletApproval firstAmount limit
24 HR methylphenidate hydrochloride 36 MG Extended Release Oral TabletApproval firstAmount limit
24 HR methylphenidate hydrochloride 54 MG Extended Release Oral TabletApproval firstAmount limit
30/70 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleApproval firstAmount limit
30/70 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleApproval firstAmount limit
30/70 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleApproval firstAmount limit
30/70 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleApproval firstAmount limit
30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral CapsuleApproval firstAmount limit
30/70 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleApproval firstAmount limit
50/50 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral CapsuleApproval firstAmount limit
50/50 Release 24 HR methylphenidate hydrochloride 20 MG Extended Release Oral CapsuleApproval firstAmount limit
50/50 Release 24 HR methylphenidate hydrochloride 30 MG Extended Release Oral CapsuleApproval firstAmount limit
50/50 Release 24 HR methylphenidate hydrochloride 40 MG Extended Release Oral CapsuleApproval firstAmount limit
50/50 Release 24 HR methylphenidate hydrochloride 60 MG Extended Release Oral CapsuleApproval firstAmount limit
8 HR methylphenidate hydrochloride 10 MG Extended Release Oral TabletApproval firstAmount limit
8 HR methylphenidate hydrochloride 20 MG Extended Release Oral TabletApproval firstAmount limit
methylphenidate hydrochloride 1 MG/ML Oral SolutionApproval firstAmount limit
methylphenidate hydrochloride 10 MG Oral TabletApproval first
methylphenidate hydrochloride 2 MG/ML Oral SolutionApproval firstAmount limit
methylphenidate hydrochloride 20 MG Oral TabletApproval first
methylphenidate hydrochloride 5 MG Oral TabletApproval first

← All coverage for methylphenidate