All *ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS*

Adderall Tablet 10 MG Oral
Adderall Tablet 10 MG Oral

Amphetamine-Dextroamphetamine

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall Tablet 12.5 MG Oral
Adderall Tablet 12.5 MG Oral

Amphetamine-Dextroamphetamine

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall Tablet 15 MG Oral
Adderall Tablet 15 MG Oral

Amphetamine-Dextroamphetamine

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall TABLET 20 MG ORAL
Adderall TABLET 20 MG ORAL

Amphetamine-Dextroamphetamine

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall Tablet 30 MG Oral
Adderall Tablet 30 MG Oral

Amphetamine-Dextroamphetamine

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall Tablet 5 MG Oral
Adderall Tablet 5 MG Oral

Amphetamine-Dextroamphetamine

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall Tablet 7.5 MG Oral
Adderall Tablet 7.5 MG Oral

Amphetamine-Dextroamphetamine

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall XR Capsule Extended Release 24 Hour 10 MG Oral
Adderall XR Capsule Extended Release 24 Hour 10 MG Oral

Amphetamine-Dextroamphet ER

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall XR CAPSULE EXTENDED RELEASE 24 HOUR 15 MG Oral
Adderall XR CAPSULE EXTENDED RELEASE 24 HOUR 15 MG Oral

Amphetamine-Dextroamphet ER

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall XR Capsule Extended Release 24 Hour 20 MG Oral
Adderall XR Capsule Extended Release 24 Hour 20 MG Oral

Amphetamine-Dextroamphet ER

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall XR Capsule Extended Release 24 Hour 25 MG Oral
Adderall XR Capsule Extended Release 24 Hour 25 MG Oral

Amphetamine-Dextroamphet ER

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Adderall XR Capsule Extended Release 24 Hour 30 MG Oral
Adderall XR Capsule Extended Release 24 Hour 30 MG Oral

Amphetamine-Dextroamphet ER

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N