Lisdexamfetamine Dimesylate Medicare Coverage in Utah
cover Lisdexamfetamine Dimesylate
Medicare Plans Covering Lisdexamfetamine Dimesylate in Utah
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 |
|---|---|---|---|---|---|---|
| Molina Medicare Complete Care (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0002 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Molina Medicare Complete Care Select (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Essential (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0005 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Dual (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Complete Care UT-6 (HMO-POS C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0008 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Essential (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Extras UT-7 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Giveback from UHC UT-9 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete UT-V001 (PPO D-SNP) | $17.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Nursing Home Plan UT-F001 (PPO I-SNP) | $37.60/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete UT-S001 (PPO D-SNP) | $37.60/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete UT-S2 (HMO-POS D-SNP) | $37.60/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| American Health Advantage of Utah (HMO I-SNP) | $37.60/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0001 (PPO) | $39.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0003 (HMO-POS) | $55.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Elite (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature Extra (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Select Health Medicare + Kroger (HMO) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
| Regence MedAdvantage + Rx Classic (PPO) | $34.70/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Value Plus (PPO) | $37.60/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Enhanced (PPO) | $59.10/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Regence MedAdvantage + Rx Enhanced (PPO) | $81.70/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
Compare All Utah Plans for Lisdexamfetamine Dimesylate
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Frequently Asked Questions
100% of Medicare Part D plans in Utah cover Lisdexamfetamine Dimesylate. There are 29 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, Molina Medicare Complete Care (HMO D-SNP) offers one of the lowest copays for Lisdexamfetamine Dimesylate in Utah. 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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