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StratteraMedica

attention deficit hyperactivity disorder (ADHD)

Preferred products

  • generic atomoxetine capsules
  • amphetamine/dextroamphetamine ER capsules (Adderall XR, generic; Mydayis, generic)
  • dexmethylphenidate ER capsules (Focalin XR, generic)
  • lisdexamfetamine capsules and chewable tablets (Vyvanse, generic)
  • methylphenidate ER capsules (Metadate CD, generic; Ritalin LA, generic; Adhansia XR; Aptensio XR)
  • amphetamine sulfate tablets (Evekeo)
  • amphetamine ER orally disintegrating tablets (Adzenys XR-ODT)
  • amphetamine ER oral suspension (Dyanavel XR, Adzenys ER)
  • mixed amphetamine salts immediate-release tablets/capsules (Adderall, Adderall XR, generic)
  • dextroamphetamine immediate-release tablets/capsules (Dexedrine, Zenzedi, Dexedrine Spansules, generic)
  • dextroamphetamine sulfate oral solution (ProCentra, generic)
  • methamphetamine tablets (Desoxyn, generic)
  • methylphenidate ER tablets/capsules (Adhansia XR, Aptensio XR, Concerta, Metadate CD, Metadate ER, Ritalin LA, Ritalin-SR, generic)
  • methylphenidate immediate-release tablets, oral solution, chewable tablets (Ritalin, Methylin, Methylin Chewable, generic)
  • dexmethylphenidate immediate-release tablets (Focalin, generic)
  • dexmethylphenidate ER capsules (Focalin XR, generic)
  • methylphenidate transdermal system (Daytrana)
  • methylphenidate ER oral suspension (Quillivant XR, QuilliChew ER)

Initial criteria

  • Patient has tried one Step 1 Product (generic atomoxetine capsules or a stimulant medication [amphetamine or methylphenidate/dexmethylphenidate product])
  • OR Patient is unable to take a stimulant medication AND unable to swallow whole capsules and tablets according to the prescriber (then approve Qelbree or Onyda XR)

Reauthorization criteria

  • Same criteria as initial approval

Approval duration

1 year