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Vyvanse added to the Essential Formulary with Prior Authorization and Step Therapy
Effective June 1, 2022, Vyvanse capsules and chewable tablets will be added to the Essential Formulary as tier 4 medications. Vyvanse will require prior authorization with step therapy before a member will receive approval for the drug. The existing quantity limit of 1 capsule/tablet per day will remain in place.
No additional authorization is needed if a prior authorization was approved for a member in 2022, while Vyvanse required a formulary exception.
View the new coverage policy (PDF).
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