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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).
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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