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Can the prescribing doctor submit a request for the insurance to cover it? When generic Concerta first hit the market and my son was taking it, none of the generics were the same so the doc wrote “brand medically necessary” on our script and submitted a form to our insurance, and they covered it for us. It was a larger co-pay, but it was manageable, unlike the out of pocket cost.
ADDitude Community Moderator, Parenting ADHD Trainer & Author, Mom to teen w/ ADHD, LDs, and autism