Lisdexamfetamine Dimesylate Medicare Coverage in New Jersey
cover Lisdexamfetamine Dimesylate
Medicare Plans Covering Lisdexamfetamine Dimesylate in New Jersey
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 |
|---|---|---|---|---|---|---|
| Erickson Advantage Guardian (HMO-POS I-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Clover Health Choice Giveback (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NJ-6 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare FIDE (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Clover Health Choice (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete NJ-Y001 (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Clover Health Classic (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Clover Health Choice (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Erickson Advantage Liberty (HMO-POS) | $14.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Clover Health Choice Value (PPO) | $31.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Clover Health Value (HMO) | $31.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Nursing Home Plan EX-F003 (PPO I-SNP) | $42.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NJ-0004 (PPO) | $45.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Clover Health Choice Value (PPO) | $54.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NJ-0002 (HMO-POS) | $62.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NJ-0005 (PPO) | $72.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Erickson Advantage Freedom (HMO-POS) | $89.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NJ-0003 (HMO-POS) | $95.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Erickson Advantage Champion (HMO-POS C-SNP) | $119.50/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Erickson Advantage Signature (HMO-POS) | $173.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Wellcare Fidelis Dual Align (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $100.00 | N/A | None | Details → |
| Wellcare Assist (HMO-POS) | $45.20/mo | Tier 4 - Non-Preferred Drug | $100.00 | N/A | None | Details → |
| Aetna Medicare Prime Giveback (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Prime (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Prime (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature Extra (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellcare Giveback (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Wellcare Simple (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
Compare All New Jersey Plans for Lisdexamfetamine Dimesylate
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Frequently Asked Questions
100% of Medicare Part D plans in New Jersey 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, Erickson Advantage Guardian (HMO-POS I-SNP) offers one of the lowest copays for Lisdexamfetamine Dimesylate in New Jersey. 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 costs • National coverage for Lisdexamfetamine Dimesylate
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