Step therapy medications
If you have a prescription for any of the Step 2 medications below, you are required to first try a Step 1 medication(s) for benefit coverage.
| Central Nervous System | STEP 1 | STEP 2 |
| ADHD Agents | Any two of the following generics or preferred brands: amphetamine-dextroamphetamine IR or ER, dexmethylphenidate IR or ER, dextroamphetamine IR or SR, methylphenidate IR or ER, VYVANSE | ADZENYS ER2, ADZENYS XR ODT2, APTENSIO XR2, COTEMPLA XR-ODT2, DAYTRANA2, DESOXYN2, DYANAVEL XR2, EVEKEO2, FOCALIN XR2, KAPVAY, METADATE CD2, METHYLIN2 SOLUTION, METHYLIN CHEW2, MYDAYIS2, PROCENTRA2, QUILLICHEW ER2, QUILLIVANT2, RITALIN LA2, ZENZED |