February 27, 2020 at 10:40 pm #143637Jf67Participant
Hi! I was just diagnosed this month.
My doc put me on generic concerta
18mg. The first 3 days were great.
I thought I found my miracle drug.
I could actually focus and the
constant narrative in my head was
gone. By the fourth day I noticed
I was irritated and had periods of
anger on and off throughout the day.
I don’t want to be on a medication where I’m not sure if its gonna be a good day or a bad day on it. I know stimulants have potential bc the first 3 days were wonderful.
I paid $100 for half of the script
bc my insurance wanted doctor approval.
After the 15 days I went to the
pharmacy to refill. The pharmacist
said the it was approved but bc it’s
a tier 3 drug I had to pay a $210
deductible and a $54 co pay (every month).
HELLO, its a generic drug.
I did extensive research with numerous pharmacy prices and insurance. It appears my
best option is generic adderall ($1.67 co pay). It also doesn’t require a prior approval. My insurance only approves Ritalin IR (generic) & generic adderall.
With approval they will cover vyvanse with a $79 co pay. Which is only $25 more then the generic Concerta.
I still don’t understand why the co pay is $54. Its the same with any methylphenidate formulation.
I wanted to talk to my doctor about
changing it anyway but its difficult
bc in the US there is such a stigma
with adderall and I’m just uncomfortable with
all these new prescription drug laws.
I have never had an addiction problem but it sucks when you need to talk to your doc about a med change but have to fear you may be looked at like a “drug seeker”
The pharmacist treated me like an
addict when I went to fill my script. She was very rude. When she told me about the deductible and co pay she said ” you should expect this, you are trying to fill a narcotic script”
It felt like I was treated like a
criminal when I just want to try to
better my quality of life.
Anyway, has anyone had similar problems
with generic concerta? Or similar
March 2, 2020 at 10:40 am #143772Penny WilliamsKeymaster
I’m sorry you’re finding getting ADHD treatment such a struggle — you’re not alone with this experience. It’s unfortunately the nature of the beast, especially now that there’s such a huge problem with stimulant abuse by folks who don’t have ADHD. I would talk to yur doctor about your experience and your struggle with the costs. If they seem to not “care,” then it may be time to find a new doc.
ADDitude Community Moderator, Parenting ADHD Coach & Author, Mom to teen w/ ADHD, LDs, and autism
You must be logged in to reply to this topic. Login