Ask the Experts

ADHD Meds for Less

“I am on a very limited budget and my co-pays on prescriptions have gone up. I am benefiting from the ADHD medication I am taking, but if prices go up any more, I will have to go without. Do you have ideas on how to make my prescription drug bill more affordable?”

The cost of ADHD stimulant medications is high, and the cost of the better extended-release delivery systems is even higher. The cause of the high prices is the costs of federal and state regulation. Stimulants are labeled C-II controlled substances, so there is no way around that added cost. The two most common brand-name formulations — Adderall XR and Concerta — went generic several years ago, but this has not brought down the cost of the generic forms.

The cheapest way to get two of the better formulations — Vyvanse (vyvanse.com) and Focalin XR (focalinxr.com) — is to qualify for one of their “care plans,” which will provide 30 capsules free every month. Go to their respective websites to download their application forms under the tab labeled “Patient Assistance.” It is unclear what will happen to these programs as the American healthcare system changes, or how they’ve been impacted by the generic version of Focalin now on the market. The programs are available now, however, so get moving.

Another way to lower medication expenses is to divide larger dosage sizes into smaller ones to fit your needs. In the U.S., all dosage sizes of a given product cost the same. An Adderall IR 5 mg. tablet costs the same as the 30-mg. size.

If your dose is 15 mg., you can cut a 30-mg. tablet in half, cutting your medication costs in half, as well. (Some formulations can’t be cut without ruining the time-release mechanism. These include Concerta, Intuniv, Kapvay, and the beaded delivery systems.)

Vyvanse, which comes in capsule form, can be dissolved in water. It is apparently stable indefinitely without refrigeration. Let’s say your optimal dose is 30 mg. You can buy the 60-mg. size for the same price, pull a capsule apart, and dissolve it in a small water bottle. White powder will fall to the bottom; this is filler, not medication. Drink half and save the rest for your next 30-mg. dose.

-William Dodson, M.D., head of the Dodson ADHD Center, Greenwood Village, Colorado

Updated on April 4, 2018

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  1. LOL… Is this what it has really come too? Vyvanse works so good but it’s so expensive so we are searching the internet for ways to “extend” it or stretch it as far as possible lol. And to qualify for the “Patient Care programs” you have to be almost destitute and if you do qualify for it and are feeling better on Vyvanse, you better not try to improve your financial situation because you will not longer qualify for it and will have to start selling yourself to pay for it. And if you get a better job because Vyvanse is working and it does most often, and are making more money you have to wait months until your insurance kicks in at your new job, so you will be selling yourself or really googling how to stretch out Vyvanse to afford it. And it might not work as well, so you will likely lose your new job and be back in the same situation. But at least you will qualify for the drug companies’ patient cares program again to get Vyvanse for free.

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