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You should talk to your doctor about the various prescription medications and dosage levels that your son is being provided.  It looks like you are getting very different dosage levels for different medications.   In terms of reimbursement, Vyvanse is a long-acting version of Adderall XR, which looks like it is covered under the Wellcare preferred drug program.   Here are three links that should help you:   1.  a link to the vyvanse listing in the plan formulary:  https://www.wellcarepdp.com/formulary_drug/show/26040  what this seems to indicate is that vyvanse is covered as a generic -- that is, there is a generic replacement.   2.  A link to the listing in the 2008 formulary for adderall xr .  http://gaprovider.wellcare.com/WCAssets/georgia/assets/pharmacyservices_ga_preferreddruglist.pdf   The formulary on the Georgia WellCare sites says:  "You can ask WellCare Classic to make an exception to our coverage rules. There are several types of exceptions that you can ask us to make. You can ask us to cover your drug even if it is not on our formulary. You can ask us to waive coverage restrictions or limits on your drug. For example, for certain drugs, WellCare Classic limits the amount of the drug that we will cover. If your drug has a quantity limit, you can ask us to waive the limit and cover more. You can ask us to provide a higher level of coverage for your drug. If your drug is contained in our non-preferred tier (Tier 3), you can ask us to cover it at the cost-sharing amount that applies to drugs in the preferred tier (Tier 2) instead. This would lower the amount you must pay for your drug. Please note, if we grant your request to cover a drug that is not on our formulary, you may not ask us to provide a higher level of coverage for the drug. Also, you may not ask us to provide a higher level of coverage for drugs that are in the specialty tier (Tier 4)."   Here is the number to call to get clarity on what you need to do as a next step: 1-888-547-5252   If you get no help from the Georgia Wellcare people, another possibility is to apply to Vyvanse for their prescription assistance program, which will help you obtain the medication at a reduced rate.  Here is a link to Vyvanse's assistance program:   http://www.vyvanse.com/pdf/vyvansepapapplication.pdf   Good luck!    
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