Skip to main content
Drug Coverage Check · Plan Year 2026

Does this plan cover
Methylphenidate?

Verified · CMS.gov Plan ID: H3916-001 Cross-check on Medicare.gov →
Verified · CMS 2026

YES — Covered

Methylphenidate is covered on Tier 4

30-day copay: $95.00 at a preferred pharmacy

Cost Details

30-Day Supply

Preferred Pharmacy
$95.00
Standard Pharmacy
$100.00

90-Day / Mail Order

Preferred / Mail Order
$0.00
Standard Pharmacy
$0.00

Deductible

Applies to This Drug?
Yes — deductible applies before copay
Plan Deductible
$0.00 / year

Lower-Cost Plans for Methylphenidate

These plans may offer a lower copay for Methylphenidate. Compare total annual costs including premium.

# Plan Name Tier 30-Day Copay Monthly Premium Rating
1 Medicare Blue Choice Core (HMO) Tier 4 See Plan $0.00/mo View
2 Network Health Go (PPO) Tier 4 See Plan $0.00/mo View
3 Network Health Choice (PPO) Tier 4 See Plan $0.00/mo View
4 Univera Medicare Total Care (HMO D-SNP) Tier 4 See Plan $0.00/mo View
5 Medicare Blue Dual Secure (HMO D-SNP) Tier 4 See Plan $0.00/mo View

Therapeutically Similar Alternatives

Talk to your doctor about these therapeutically similar medications. They may be covered at a lower tier or with fewer restrictions.