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Lisdexamfetamine Dimesylate Medicare Coverage in Wisconsin

100%
of plans in Wisconsin
cover Lisdexamfetamine Dimesylate
48 of 48 plans
30
Plans shown below

Medicare Plans Covering Lisdexamfetamine Dimesylate in Wisconsin

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 CareFlex from UHC WI-18 (HMO-POS) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care WI-1 (PPO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care WI-20 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0014 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aspirus Health Plan Essential Rx (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
My Choice Wisconsin Partnership Plan (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0015 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
My Choice Wisconsin Partnership Plan (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-D003 (HMO-POS D-SNP) $7.50/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP) $7.70/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-D001 (PPO D-SNP) $9.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-V001 (HMO-POS D-SNP) $17.30/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-D002 (HMO-POS D-SNP) $18.90/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-D3 (HMO-POS D-SNP) $21.10/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Network Health Cares (PPO D-SNP) $21.10/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Care Advantage WI-E001 (HMO-POS I-SNP) $21.10/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0012 (HMO-POS) $33.80/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0010 (HMO-POS) $44.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-6 (PPO) $50.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0011 (HMO-POS) $59.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0007 (PPO) $62.10/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0002 (PPO) $95.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Wellcare Dual Access Sync (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Wellcare Dual Reserve (HMO-POS D-SNP) $10.40/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Dean Advantage Assurance (HMO-POS) $0.00/mo Tier 3 - Preferred Brand 0.2% N/A None Details →

Compare All Wisconsin 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 Wisconsin 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 CareFlex from UHC WI-18 (HMO-POS) offers one of the lowest copays for Lisdexamfetamine Dimesylate in Wisconsin. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Lisdexamfetamine Dimesylate Coverage in Other States

Click any state to see the plans and costs available there.

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

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