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Lisdexamfetamine Dimesylate Medicare Coverage in Indiana

100%
of plans in Indiana
cover Lisdexamfetamine Dimesylate
39 of 39 plans
30
Plans shown below

Medicare Plans Covering Lisdexamfetamine Dimesylate in Indiana

Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.

Plan Name Monthly Premium Tier 30-day Copay Stars Restrictions Action
AARP Medicare Advantage from UHC IN-0009 (PPO) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IN-001P (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IN-19 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC IN-10 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete IN-S002 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care IN-21 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC PathWays Dual Care IN-S1 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IN-13 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IN-0006 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC PathWays Dual Care IN-S3 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IN-0007 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Nursing Home Plan IN-F001 (PPO I-SNP) $24.60/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IN-0002 (PPO) $32.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IN-0003 (PPO) $33.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Chronic Care Total (HMO C-SNP) $38.40/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
American Health Advantage of Indiana (HMO I-SNP) $38.40/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
UHC Dual Complete IN-D001 (PPO D-SNP) $38.40/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Chronic Care Total (HMO C-SNP) $38.40/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IN-0001 (PPO) $39.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IN-0004 (PPO) $49.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Wellcare Assist Open (PPO) $38.40/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Aetna Medicare Signature (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Wellcare Simple (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Aetna Medicare Signature Extra (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Signature (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →

Compare All Indiana Plans for Lisdexamfetamine Dimesylate

Enter your exact ZIP code to see plans available in your specific county, ranked by total annual cost.

Frequently Asked Questions

100% of Medicare Part D plans in Indiana cover Lisdexamfetamine Dimesylate. There are 30 plans available. Coverage and costs vary by specific plan.

Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, AARP Medicare Advantage from UHC IN-0009 (PPO) offers one of the lowest copays for Lisdexamfetamine Dimesylate in Indiana. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Lisdexamfetamine Dimesylate Coverage in Other States

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Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for Lisdexamfetamine Dimesylate

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