在此表中纳入药物并不意味着覆盖范围。资格,福利,限制,排除,预先认证/推荐要求,提供商合同和公司政策适用。Brand Name Generic Name Adderall® [IR/XR] Amphetamine/Dextroamphetamine Mydayis® Amphetamine/Dextroamphetamine Adzenys® [XR ODT/ER] Amphetamine Dyanavel® XR Amphetamine Evekeo® [ODT] Amphetamine Dexedrine® [IR/SA] Dextroamphetamine sulfate Procentra®右旋苯丙胺硫酸盐Zenzedi®DextrophetamineXelstrym®Dextrom®dextromeamphetaminefocalin®[IR/XR]脱氧甲基苯甲酸HCLVVYANAIDEHCLVVYANSE®LISDEXAMINE®lisdexaminelisdexamine demylatamine dimesylatamine dimesylate dimemylate dimesylate xr Xr Xr Xr胰岛素®甲化苯二甲酯HclDaytrana®甲基苯二甲酸甲酯HCl Jornay PM™甲酯HCL甲酸HCL甲酸甲酯HCL甲酸甲酯[ER/CD]甲基苯二甲酸甲酯HCLIDE HCLIDEHCLINY®- REREXXII®甲基苯甲酸甲酯ERDESOXYN®甲基苯丙胺HCl Azstarys™Serdexmethylphenidate/右甲基苯甲酸甲酯交叉参考:非标签外使用RX.01.33