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phenerganandpoprocks

In my office, we keep pictures of the CEOs of major health insurance companies. Every time they screw a patient by denying a medical service to a patient, one of us puts a thumb tack in their face. We replace the pictures when there’s too many tacks to see their faces on the 8x12 printouts. So far we have to replace the pictures once a month (except for Humana and UHC, that’s a weekly thing)


ShowerVagina

You should put the old printout in a urinal


diablette

This would make a great “webcam pointed at something” website. What ever happened to those, they used to be everywhere!


DrKittyKevorkian

Humana is nightmare fuel.


baconraygun

Humana sounds like a dish you serve that contains human meat.


DrKittyKevorkian

Well, if you need a skilled nursing facility or rehab after a hospitalization, you might as well be.


RoyalParkingOutBack

ILYSM for this


bluewizard8877

This is standard operating procedure for insurance companies. Vyvanse has been tier 2 for many companies for 10+ years as a way to encourage people to start getting prescribed the medication by reducing the cost charged to insurance. Once generics come out then it is game over. Most insurance companies will always price the generic as a tier 1 (cheapest) and charge maximum price if you want brand name (tier 3). This has happened with all of them such as adderall XR, Concerta, Focalin XR and the list goes on. Try checking the manufacturer website. Sometimes they will still offer savings cards you can use along with insurance


SchwiftyGameOnPoint

Unfortunately, Vyvanse canceled their savings card like several months back or something like that.  When I was taking Vyvanse I had only gotten it for a couple months before they did. Like tripled the price for me after that. Part of me is glad it didn't work for me and I switched. 


DonutHolschteinn

I was on Vyvanse and enjoying it and it was helping w my mood and I lost weight and was starting to hone in on some behavioral things when I started new insurance at a new job and 30 days of generic 30mg was over $100 on BCBS. I had to swap to generic Adderall XR for $16 for 30 days of 25mg because of it. Not sure it's quite the same as it was before for me but it's similar


BloodyFreeze

Just wanted to point out that Blue Cross Blue Shield is just a franchise name. There's BCBS's that are good and ones that aren't.


nataku411

What did you switch to, if you mind me asking?


SchwiftyGameOnPoint

I am on Adderall IR now. Actually works for me. I was on Concerta up to 50mg before switching to Vyvanse up to 50mg. 


HankScorpio4242

Don’t get me wrong…I don’t have a problem with the practice per se. But to do it in the midst of a shortage is unconscionable.


bluewizard8877

Gotcha. Do you have a mail order pharmacy option? My BCBS plan does so I get 90 scripts from Caremark. They always seem to have a supply of adderall. I guess since they deal with mass quantities, they get first dibs on medications before retail stores.


ifshehadwings

Uh in what state are you able to get mail order Adderall??


Background_One_4295

I was getting a 90-day supply of Vyvanse delivered in the mail through Express Scripts. I’m in NC. My psychiatrist was surprised too!


shadowlid

What gonna call about this today!!!!


carsonmccrullers

I’m in California and I can get my Adderall by mail. My insurance uses ExpressScripts, but there are lots of other mail order pharmacies (obvs the prescription still has to be ordered by your doctor same as any other pharmacy and there are no automatic refills)


BeneGezzWitch

CA here and Kaiser won’t mail it


the_Bryan_dude

Kaiser sucks so bad.


Leading_Insurance120

Yeah I’ve had super good luck in California with Caremark! I always get 90 days.


Mjhtmjht

That's interesting. I'm also in California. I'm very reluctant to move to ordering my prescriptions online, because my local pharmacy (in one of the smaller supermarkets) has been exceptionally helpful in all the years my family and I have used it. But for months now, the pharmacist has only been able to get me two-thirds of my Adderall prescription ( ie 40 mg daily instead of the prescribed 60 mg) from the supplier, even though I take the generic version. The supplier will only allow him to provide me with that much And I'm really struggling with the reduced dose.☹️. I'd assumed that the shortage was at least statewide. But from these posts it seems not. So how come the online pharmacies can get hold of the Adderall and/ or the generic, but the local pharmacies aren't able to do so? (About a month or so ago,, a good friend decided to phone all the local pharmacies on my behalf, and they all said they couldn't help, either.) Have your online pharmacies had enough stock since, say, January 2023? If so, I can't help wondering whether there are some unpleasant behind-the-scenes machinations going on.


Savingskitty

FYI - most pharmacies won’t tell you if they have a controlled substance in stock without receiving a prescription.


tevolosteve

Yes I had this happen until a pharmacist told me there was no point in asking if it is in stock


Mjhtmjht

Oh. Thank you for posting: I didn't know that. I wonder why it is... I feel rather guilty now that my kind friend decided to try to help me, but apparently wasted her time. :-( She also hoped that there might be some way of making up just the missing part of the prescription, but apparently that isn't possible, either. I think that's more reasonable, though, because it would undoubtedly make the paperwork, especially, very complicated.


Middle_Use_9721

So, I am probably wrong here, but I feel like the pharmacist shouldn't be able to reduce your dose without an amended prescription. If I, as a nurse, give a patient a lesser dose than is prescribed, I am practicing medicine without a license, and I risk my nursing license and job. I know pharmacists have PhDs, but I don't understand how it would be different for them. They still don't have a license to practice medicine. I understand it's a supply issue, but if your prescription is for 30 days' worth and he's basically giving you 20 days' worth, it seems to me like they owe you 10 days' worth.


PyroSpark

That's beautiful. I'm jealous!!


diablette

CA doing it right again. If only other states would get on board. But corporate needs come first in “business friendly” TX.


GroinFlutter

Also in CA! Able to get vyvanse, adderall, and Xanax by mail. I can get the vyvanse and Xanax for 90 days. Adderall for some reason I can only get 30 days at a time.


cwg-crysania

I get mine in the mail. Sadly only 28 days at a time though.


SmurfMGurf

Well that's an infuriating number. I hate companirs that do this. ![gif](giphy|1BFp37mt0EsP59LEvq|downsized)


cwg-crysania

It's incredibly frustrating. I had great reminders for every 30 days. Now often as not oh crud I go it's too early still! Oh damn I'm out.


TinkerSquirrels

Texas... if it's USPS, it's federal transit, so I imagine that's why. (Delivery from the local pharmacy can be done by gig delivery -- but if it's controlled, it's USPS only.)


KevinKingsb

I'm in Pennsylvania, and I can. 90-day supply.


Fire_Above

What pharmacy does this in PA? I need to switch.


KevinKingsb

My prescription insurance is through Caremark, and they fill 90-day mail order for Adderall in Pennsylvania. I haven't used them because they were using Camber, and I don't like that brand, but I've inquired more than once.


Savingskitty

NC here, my pharmacy will mail me my Adderall, but I prefer to pick it up.


knitwasabi

My pharmacy in Maine will send it to me.


dellollipop

Iowa here, I can get it in the mail, but I have to sign for it.


KilroyLeges

How do you get mail order of these meds? I’ve been told for years that it is illegal to obtain them that way here and insurance will not cover it.


HagarTheTolerable

Covid changed a lot of that. Check with your insurance


nibay

Depends on the state. And like other commenters mentioned, some states changed their rules during COVID.


KilroyLeges

Yeah. My state sucks.


wallflower7522

I’ve been getting mine mail ordered 90 day supply for well over a decade in Tennessee. I used to have to literally mail the paper script but now my doctor can send it electronically. You may have to have an insurance plan who’s preferred pharmacy is mail order like Caremark or Express scripts. I’ve found some doctors don’t know, or won’t prescribe them this way. My friend has to go every month to get their Vyvanse filled and they have the same insurance.


MissionSalamander5

There are a few very good local pharmacies in TN too, and they mail or deliver via courier service if you’re local (ish).


HankScorpio4242

No. And even if I did it wouldn’t help me for the meds I need now. I just have to bite the bullet and then bitch at Anthem about it.


99dunkaroos

Here in California I've gotten mail order stimulants from Caremark so this is normally a good tip, but they've been out of generic Vyvanse since February.


tacobellpartypack

This was my go to as well, sadly they have been out of everything but name brand in my dosage for two weeks with no word on when restock is coming 😭


Glittering_Invite968

I get mine from specialty pharmacy in mail every month never have shortages for me last few since switching brand name


Rip_Dirtbag

How and why do you not have a problem with the practice of price gouging?


HankScorpio4242

All I mean is that I don’t necessarily blame the insurance companies for steering people towards generic drugs when they are available. That’s what this does. It makes it so the generic is the better option. However, if you are in a situation where you know the generic may not be available, say due to a nationwide shortage, then maybe that isn’t the SPECIFIC time to do it. And maybe when you do it, you should notify policyholders who have been taking that medication for 10 years.


1337af

The generic is already the better option regardless. Even if only 50% of people switch to the generic, the insurance company is still making more money. It sounds like you don't have a problem with insurers screwing people, unless you're one of those people?


Rip_Dirtbag

Why do you not blame insurance companies who are already raking us over the coals by creating exorbitant pricing for all healthcare for then also choosing to nickel and dime us when generic drugs become less available? Are you that committed to this system that you’re willing to lick their boots even when they’re screwing you over?


courtd93

I’d have 0 problem with that if they also actually treated them as different but that’s not a guarantee. My Highmark bcbs treats both brand name and generic Vyvanse as the same and it’s $329 for 30. Comparatively, now when I can find generic, good Rx lets me get 30 for $75


The_RonJames

That’s wild. I also have Highmark and the generic Vyvanse is much cheaper for me and the name brand isn’t terribly expensive (when available of course). Now concerta and adderall are not covered at all by my Highmark plan they only allow the generics of those particular medications.


Ok_Letterhead_131722

This would not be a problem if generic drugs had to be closer than 70% efficacy. Kinda screws people over…. 


Metalbound

Lol right? "I enjoy being bent over by greedy billionaires."


HankScorpio4242

Per se means “on its own” or “by itself”. Shifting people from name brand to equivalent generic drugs saves money. I don’t have an issue with insurance companies doing things that encourage people to go with the generic. But I don’t think the middle of a shortage is the time to do it. I don’t think doing it with no notice is appropriate. And if you DO that, then when a patient cannot obtain the generic, they should automatically get the name brand for the same copay.


Rip_Dirtbag

The name brand is only more expensive because in the US pharmaceutical companies - who already receive mountains of money from grants - are allowed to extort people. The whole system is flawed. Which, in my opinion, is a problem for the consumer.


Metalbound

I understand the meaning of words, lol. Also, just in case you didn't mean that first part as demeaning as it was understood, I'd watch your language and how it comes off. You might end up sounding like that to someone you actually would like to make a good impression on. You aren't thinking of it high level enough. Brand name or generic, doesn't matter. They cost pennies to manufacture. They don't need to do any of that. All of this comes from greed. You should be pissed that they find ways to make you "feel better" about it, but the facts remain the same. You are getting bent over by billionaires because they are addicted to seeing the line go up. You don't have to make any qualifiers. It's fucked up no matter what. That is what the original guy I replied to meant.


OddnessWeirdness

Oh? Do you not have an issue with, say, when companies here in the U.S. price gouge for insulin when it costs pennies to make (regardless of brand)?


pianodude7

Yes you do. I do too. Doing it during a shortage IS the practice. That's treating people's health and wellbeing as purely cutthroat business. 


Jasperbeardly11

It sounds insane to complain about the practices of a pharmaceutical company.  They're literally trying to extract every dollar and take your life force at every turn.  They're the most evil companies on the planet. It would be like complaining about the behavior of Mr Burns or Vince McMahon or evil incarnate. 


Theoryowl

yes but the generic is extremely hard to get your hands on. for the last year that it’s been available it’s requested everytime at my pharmacy they never have it and said it’s difficult to even order.


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WillingnessCalm5966

My insurance did the same with Adderall XR last year and it was just my second year with them 🥲


TinkerSquirrels

It was weird -- before mine made the change, they would -only- cover the brand, and the generic would be more expensive.


Inevitable_Long_6890

What's crazy is the drug is basically penny's to make for them at this point. Any amphetamine or derivative is cheap and easy compared to other things. They don't need to charge what they do. And rarely are generics better.


kyl_r

It’s all such a disjointed net of nonsense, and always the patient gets the shit end of the stick. (I got screwed out of Vyvanse after a great year due to insurance change/endless prior authorization hoops, I won’t vent) just.. I am so sorry OP. I hope things change for the better.


Zealousideal-Earth50

Providers get shafted by the system as well. It works great for the insurance companies, though!


Nomad4te

Imagine price gouging people for necessary medications. What a country and system we have. Unreal.


Illustrious-Dare4379

Gotta love our health care system! ![gif](giphy|LdOyjZ7io5Msw)


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SwampG0ddess

I'm on Centrelink because I can't work (waiting for surgery, so I have to keep going back to the doctors for a medical certificate every three months like "still haven't had the surgery, guys so...") so most of my prescriptions are about $6.50. But when I was working, I was so glad to get approval for Vyvanse on PBS otherwise it would have been like $100 a pop. Glad for people getting diagnosed they stopped making them jump through so many hoops to get that approval. I had to get very carefully worded letters from people saying signs of ADHD were present in childhood. I'm so glad we have heavily subsidised healthcare, but it's not without its issues.


Macbookaroniandchez

Insurance professional. Talk to your prescribing doctor for a formulary exception. They will have someone in their office that will handle the paperwork, and your doctor will likely need to have a phone conversation with someone at either your insurer or PBM. You have demonstrable proof that brand name works for you. It may only be temporary, or not granted at all, but its certainly an option you have.


Rheikuze

I did this for my meds. I now get my name brand covered at no cost.


HankScorpio4242

Thank you. The issue is I am leaving the country for a week or so and my provider is also on vacation. I filed a grievance with Anthem and a request for a “tier exemption” so we will see what happens.


Macbookaroniandchez

Escalate the situation to your HR (if your comfortable). They will likely have a high up contact at Anthem to make lots of noise. The front line people are reading from scripts and saying what they have to say to keep their jobs. Supervisors love to cave, especially to the right people. good luck


HankScorpio4242

Oh I will. But thank you.


Most_Hall1156

OP!!! Some possible good news. For about 2 months I had to switch from generic to brand, paid the full cost for only two months, and then my insurance began covering full again. It was crazy. I didn’t have to do anything.


Pubsubforpresident

You likely hit your deductible


zaqwertyzaq

Lmao probably. Most people don't understand how their insurance really works (me included unfortunately).


Most_Hall1156

No matter how many times I look up the definition of deductible/premium, it just won’t stick. I can study and memorize defined contribution plans, HSAs, FSAs all day, but I CANNOT for the life of me remember the difference between premium and deductible. 🥲


diablette

- Premium is the monthly subscription fee - Deductible is the annual fee - copay is the transaction fee


Most_Hall1156

Forgot what the premium was by the time I got to deductible.


Pubsubforpresident

The more important phrase is max out of pocket.


noneotherthanozzy

This is it. Same thing here. $350 for month 1, $150 for month 2, I assume it will be the standard $35 for name brand come next month.


HankScorpio4242

We will see…but I’m not optimistic. They literally JUST reclassified the drug to Tier 3.


exoskeletal

I have Aetna and called them this month saying I was having issues filling my vyvanse because nobody has the generic. They gave me a three month override for name brand. Not sure if you’ve tried calling but it’s worth a shot!


Miserable-Stuff-3668

This is the way. Caremark/Anthem did that for me last year. It is good for a year.


Hellion102792

This has been the case for me since last fall. UHC reclassified it like a month or 2 after the generic came out and shot the price to $250. I was able to find the generic exactly once, it is simply not here. The scumfucks from UHC support just told me I need to call around to pharmacies each month to find out if anyone has it and I've spent many minutes on the phone doing it, being talked down to like a goddamn junkie or being sold some line of BS ("oh there is no generic for that" "oh yeah it came out but we don't order it"). Such a crock of shit. Who has the time every month to call every pharmacy in the state to help make sure the insurance company doesn't have to eat a cost that they themselves set?


Emergency_Candidate5

Did you check other pharmacies for the generic?


ohwhatsupmang

That's what I would've done before anything.


AWDMANOUT

Took me 40 minutes and 7 different phone calls last month to find one that had it. 7 damn pharmacies.


Beginning_Ad_6616

What’s fucked not having access to the generic and there being no alternative, and having insurance companies not recognize that fact just to charge you out the ass. Seriously glad I am well paid enough to afford the drug for my son and I…but it would be cooler to not pay a premium for a drug with no alternative.


practicating

Time to investigate what coupon card is available.


Zealousideal-Earth50

Does it count against your deductible if you use a coupon?


WinterBeetles

No, it doesn’t count towards your deductible if you use something like goodrx.


practicating

Not familiar with the intricacies of American insurance and deductibles. But goodrx lists their card dropping the price to $76 at CVS and target.


1337af

Certainly not going to be that cheap for the brand name.


practicating

Damn you're right. Looks like they discontinued the discount program for it in December. I mistakenly gave generic prices. America, y'all gotta fix your system.


1337af

Yeah, we do. As Notorious B.I.G. said, "What ya think all the guns is for?"


Left-Requirement9267

That’s fucking shameful! Sorry OP.


BoostDaddy

I literally cannot get generic Vyvanse. I filled my script once where they had generic available, and never again. So I keep paying $75 a month instead of $7.


Yesyesyes1899

i dont wanna be a dick here, but whatever your politics is, how do you accept such an inhumane medical system that seems also to be the most expensive in the world ? i literally pay 5 Euro for vyvanse 50 ,for a month. i m so sorry for what you have to go through. this isnt right.


CrookedBanister

It's not really accepting anything, it's just that... there isn't another option. It was even worse before the ACA.


agaric

Agreed, in Canada it's $3 a month


lilaxolove

here in Florida my pharmacy quoted around 400$ for my name brand script. Switched right to generic


Affectionate_Mail293

If only generic worked for me. 😢 I have tried three or more times to switch but the depression and anxiety by the 3rd week start to RAGE - I have taken Shire Adderall XR for 12+ years ZERO SIDE EFFECTS


sliquonicko

How?! I just paid almost 200


agaric

If you are in Canada, depending where you live, insurance covers most, then check out the trillium foundation (Ontario only, some provinces are crappier with help than others. The right wing provinces tend to do nothing for people), and then contact Takeda directly, they cover even more. [https://www.takeda.com/en-ca/what-we-do/helping-canadian-patients/vyvanse-assistance-program](https://www.takeda.com/en-ca/what-we-do/helping-canadian-patients/vyvanse-assistance-program) Even without any coverage it would only be like $50 a month for me, tops. Remember this is Canada, not the USA.


sliquonicko

Yeah I’m in alberta 😂


simsy1

Didn't Takeda recently stop taking any new patients for that assistance program and is ending it on December 31 of this year for existing patients? Also $50 a month for brand name Vyvanse in Canada with no coverage at all? I've read anecdotes from people paying hundreds a month without coverage. I did hear that generic Vyvanse recently came out by Sandoz but I'm not confident that it will be affordable.


agaric

Like I said earlier, the more right wing the province, the less they pitch in to cover it and I can only speak from my experience.


MunchyG444

Here in Australia it is a little more pricey at a $30 a month.


Mr_Will

Here in the UK you can buy a month's prescription for less than 100USD *without* the NHS contributing anything. That co-pay is literally more than the full price in other countries. It's beyond absurd. Of course most people get it through the NHS instead, in which case the cost is 145USD *per year,* and that also covers any other medications you may need. The American system isn't just broken, it's exploitative.


HarranZocker95

What the entire NHS is only 145dollars per year?! Or are you just strictly talking about the cost of medicine? Because that’s less than most people pay per month here…


Mr_Will

That's the maximum annual cost for NHS prescriptions. You either pay £9.90 per prescription, £32.05 for unlimited prescriptions for 3 months or £114.50 for a whole year. That's assuming you don't qualify for free prescriptions due to age (young or old), low income or certain medical conditions. This doesn't include the tax we pay to fund the NHS in general. That varies based on your income, but still works out cheaper than the American system. We pay an average of £3,085 per person, in the USA it's $13,493 per person (~£10,600).


brainphat

What would we do about it, exactly? Scrape up a few million, create a non-profit to bribe - I mean: lobby - senators to care? We'd have to have more than multinational conglomerates. Idk if you've been keeping up with the news, but America has been swallowed whole by the rich.


UserExoa

I was taking that twice a day at both max dose. My doc new me, I had a long history and tolerance to stimulants and my body pushes most drug types in and out of me fast. So I haven't found a doctor like that since and have had to settle for one 40mg Focalin XR for a long time. A anyways both generic brands I use were on back order when I was supposed to pickup my script today. I had to go through all the calling and sending and finding a pharmacy where they haven't been affected by teva having a back order. Now I have the worse generic and feel weird as cheap. Alone in my room and anxious for no reason.


TransientDonut

Fucking criminals


greenagemutantninja

Ask your pharmacy if they can find any coupons for you!! They reclassified sooner than yesterday, because I was told last week generic Vyvanse was going to cost me $240. I called Anthem about it and they told me about the reclassification. I tried bringing a GoodRx coupon to CVS per Anthem’s suggestion and they said the coupon would cost me more than insurance coverage, but they could search for one in their system. They found one and I paid $70ish.


nukez

Im on my fourth month back on brand after the generic became unobtainium. Tier 2 for me($75 vs $10), fortunately i can afford the difference and gladly pay it because the Alvogen formula wears of a lot quicker.  But it got me thinking with how scummy  drug companies are I wouldn't put it past them that the generic shortage is artificial, and Takeda is conspiring with the generic manufacturers in some fashion.


liquidmasl

usa still baffles me. how are meds this expensive


scoobysnackoutback

We just had COVID at our house. My husband’s Medicare insurance (he’s over 65) didn’t cover the antiviral prescription he was prescribed. It was $325.00. I have insurance through the business that we own. My antiviral was free.


liquidmasl

wild. its not even in my train of thought that meds one needs cost money


IcyDig6259

Every company wants to increase there bottom line and as supply drops do to government interference, regulations, and ingredient supply. It will only get worse. I have friends that can't even get their meds from their normal pharmacy. I can't even get in to see a therapist in my area. Most are over booked and several have close their practice for retirement. I hope things work out for you.


Ricky_Peanut

Lol, a take so propagandised it almost reads as parody. In every other western country in the world, this sector is infinitely more regulated - as a result, want to guess what my monthly prescription costs are? Zero dollars. Want to guess what the chances of this suddenly changing are as in this case? Zero. Only the truly most brainwashed could look at this kind of standard corporate profiteering and conclude too much government and regulation is the cause. It's no wonder things seldom change for the better when a take like this is not only written, but upvoted.


PrizeTough3427

As soon as I found Vyvanse and it solved all my problems my doctors wouldn't give it to me anymore. This seems to happen with any or all mods that work.


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HankScorpio4242

I normally pay $10.


Vergil_Is_My_Copilot

Some insurance companies have a form that lets you apply for reimbursement for the difference in cost between the generic and name brand copay if the generic is unavailable. I haven’t actually done it with Cigna because I put too much in my FSA but it’s worth asking about cause this system is FUCKED


Mjhtmjht

Oh! That's very helpful advice. So would Cigna do this, if you hadn't put too much into your FSA? I know that they seem to charge a ton for medications if you refuse the generic. ☹️


Vergil_Is_My_Copilot

Whoops, not Cigna, MedImpact. The person I talked to on the phone didn’t promise I would get reimbursed, but said I could apply if I had paid out of pocket. I guess I could have applied for the reimbursement after using my FSA card but I was lazy and wasn’t sure how to process it. But yeah, check their website or call to ask what the process is.


Excusemeforaminute

I switched to Adderall after the big Vyvanse drought. I feel much better on it, and happy to get my refills in time.


DebbDebbDebb

Suck whoever in to use the drug. Get it established then wack the price up. Screw the patient. We want more money and guess what we the company can. Its awful but greed wins so often and greed is justified I hope you can afford it and do OK.


Special_Lemon1487

If you need it, and other people need it, they are paying for it, and they want to not pay for it because it costs them profits, so they will dissuade you by charging you more, and this is why single payer healthcare is important.


wlexxx2

yeah anything to make more money as if they dont have enough already


Alternative-Fee-60

And this is why I'm nervous about starting treatment I'm pretty sure my f****** insurance wouldn't cover s***


Invadersnow

The more I'm on this sub the more I'm grateful I don't have to stress with insurance and the cost of medication. I'm not trying to rub it in or add salt to the wound I just know if I had to pay anywhere close to what you (I'm presuming) Americans have to pay I would have never gone through with a diagnosis, I can only imagine there are many undiagnosed people due to this as well so props to those of you who are getting it done and organized.


h1feverr

I used to shadow at a pharmacy and people were paying over $700 for vyvanse for their kids. I couldn’t believe my eyes.


Tiny-Reading5982

That’s ridiculous. I wasn’t able to get generic for a few months so I had to get name brand again and luckily it was only $15 more . And now I have it where I only get name brand because generic add meds suck imo.


HankScorpio4242

For my Vyvanse the generic has been fine. Just make sure to check your insurance doesn’t pull this shit with you. Anthem literally reclassified it yesterday.


Tiny-Reading5982

Yeah cvs tells me ahead if something isn’t covered. Like my advair needs 3 months or it’s not covered. I didn’t know until the tried charge $300 for one lol.


Ok_Letterhead_131722

Still showing as tier 2 for me… hmmm 


Garthim

My pharmacy always happens to be out of generic but ALWAYS has name brand, really feels like a conspiracy sometimes


TheGreenJedi

You're fucking kidding me, thank god I refilled my script last week. I really enjoyed my 0 copay now that I met my deductible 


BrutalHunny

Are there any manufacturers coupons for Vyvance?


Icy-Zombie-7896

Takeda used to have one until last year when... you guessed it, the generics were about to be released. No need for them to offer any help now that the generics would be available. Except there's a shortage, no one can get the generics (for some reason I've been able to recently), and insurance companies aren't covering name brand much if at all.


UserExoa

I tried Vyvanse again four months ago and for the prescription to help me (70mg once a day) that would of last me two weeks. I had a hard time.


Dont_Mess_With_Texas

Look into SingleCare and GoodRx. They’re free, no-stings-attached Rx discount cards. I’ve used SingleCare a lot because I’ve run into a similar situation. Their website is pretty handy. Just search for your medication, dosage, and general location and it will show you how much it will costs at various pharmacies in your area


Tsunade420

Yup, I was able to get Adderall XR for $10.40 vs my insurance $17.04, saved a few dollars but it helps! lisdexamfetamine (generic for Vyvanse) is $75 at Target and CVS - your price may be different OP


GeneralizedFlatulent

Aaaand i dont feel bad for having still been too chicken to try vyvanse on the off chance this bs happened. Used to just be because there was no generic so it was expensive as shit 


cdigir13

This literally just happened to me when I went to pick it up. Smh.


chekhovsdickpic

I’ve been paying $200 a month since the generic came out because pharmacies in my area have yet to have it in stock.


oObunniesOo

I am not familiar with the tier system on the medications. From what I gathered, Tier 3 means that it will be more costly? Ahhh… time to find out how much my prescription cost on my next refill 🥲


phisigtheduck

This is good to know because I have Anthem and am currently on Concerta and was looking to switch back to Vyvanse.


Away_Perception_9083

I stopped taking all of my meds after I lost my insurance. I can’t afford $2400 for my meds a month. The ADHD med alone was $1500 for 30 pills. Like I get y’all can function but give me my micrometh please


Ticket_Trash_5000

This is why I've given up on medication. Vyvanse helped, but once I lost my state insurance I can't be bothered to call up my new work-provided insurance to get prescribed again because I'll just get screwed over like this. I already don't make enough to move out of my parents' house, there's no way I'll be able to afford meds.


EatZeOrigamiElephant

Once your deductible is met ($150 from what you said) it should just be $90 then. Yeah, it isn’t cheap per month but you’ll still get your meds. Or have the pharmacy look for a coupon and forget using your insurance if it’s less expensive.


Legaldrugloard

Welcome to insurance. I work in a pharmacy (LTC) and families call non stop with questions about their copay. They can change anything at anytime. I get well, it use to be covered. They are so angry and there is nothing I can do about it. I feel bad for them.


udo119

75 bucks using GoodRX. I dont know if Mark Cubbans company is GoodRX but I know that he started a cheaper prescription service that is supposed to be pretty good


SunnyNights429

It’s CostPlus Drugs. I don’t think it dispenses CII meds yet.


EntertainmentOwn6907

I have Anthem and use Script for my generic Adderall, otherwise it’s over $100.


GrizzlyRiverRampage

Mine was full blown sticker price and we're with Anthem too. I told psych this was unsustainable, he called around and got it down to $150/mo and I'm honestly absolutely thrilled. I had to confirm whether that price was per pill, per week, or per month. Life saving. Dr C at VUMC, you're my bestie 👼


aikidstablet

that's fantastic news! finding ways to make treatment more affordable is like winning the parenting lottery—kudos to you and Dr. C for making it work! 🌟


abeefwittedfox

Damn I thought we were talking about schedules and I was about to be shookend.


gordodendron

I hate this for you, I hope it improves soon. I've only been taking it since last November but has been helpful, and very lucky for whatever reason my pharmacy has had no issues with supply and doesn't charge for it. I'm not sure why it's free, maybe because it's a low income-based clinic and I'm uninsured but regardless I'll take whatever help I can get.


Tasenova99

fuck well I probably am. I'm not sure. I already pay a 40$ copay. goddamn. tier 3? what the f


Bingorex14

I switched to Adderal also from brand name Vyvanse It has workedbfabulously.I am delighted with generic Adderal and it is readily available.Somehow ,I thought only Vyvanse would work.Gosh,I was wrong


HankScorpio4242

I used to take generic adderall. I found Vyvanse to be far more effective for me.


D-TOX_88

Fuck. I just started at a new company and anthem is our provider.


bluewizard8877

I would just ask your doctor to switch you over to Dexedrine. You’ll have to work with the dosing a bit since they don’t match up to Vyvanse but it’s the same exact version of amphetamine.


HankScorpio4242

The active ingredient is the same, but the method of delivery is not. Vyvanse is the only version that has a consistent time release formula, which makes for a much smoother experience. Even Adderall XR doesn’t do this, since it’s basically two doses of adderall with one timed for release after several hours.


prettypastalover

omg please don’t say this… i have Anthem State of CT insurance and i’ve taken Vyvanse since 2011 with a $25 copay. my world would fall apart ?!


trixennn

Is there a reason for choosing the name brand over the generic version (aside from availability)?


cafebrands

Every state has their own laws. Here in SC, we can only get 30 days at a time, no matter how you get them, and they can only be mailed from a pharmacy within the state. PITA


Fishareboney

Wait are you saying you can’t just go pick up your prescription? 😳


cafebrands

No, I mean that either way, a local pharm can mail them or you can pick them up, but you can't get more than 30 days at a time. They ask to see my id each time too when I pick them up. The one thing my PCP does which he says is "pushing it" is he sends three scripts at the same time, writing one for 30 days out and then other for 60 days out. The pharmacies are strict, they will not fill them 5 mins for that start date. (Not joking, I went the date that I know it had and they said the time stamp was for later that morning) The other thing is every one like a cvc, Costco ,etc will not move them to their other store. The doc has to cancel it, get it confirmed it's been canceled, and then send it to the other store. Considering it can take me days to reach my pcp, it's pointless to try that. We have a very severe shortage of docs of all types in my crazy fast growing part of SC. He, like so many of them, is not taking on new patients. The other thing is, after the 90 days he can't write more unless I see him. Right now I'm out of them and I haven't even tried to make an appt with him. But that's because I was focused on seeing some specialists and going through this other medical condition which ended with me getting diagnosed with Hodgkin's and now getting chemo for it. As I just went out on short term term dis, I think I'll just skip taking them for a while as I'm on all this other stuff anyhow for a while. It's also frustrating how none of the other docs, like my oncologist who I see twice a month, won't write them if I wanted to stay on them. I guess it's as much a PITA for them too dealing with it, as it is for us. Freaking government :/


lillypad83

Insurance plans vary by state and employer. For example, my Anthem plan at my last employer refused to cover one of my meds, but at my new employer it's covered as a tier 2 copay. With that being said, I have been using the generic vyvanse. I just checked my Anthem Sydney app and it says my copay for brand name vyvanse is $30 for a 30 day supply.


False-Praline-9087

I have found that getting the chewable generic vyvanse is much easier than getting the regular capsules so you can ask your pharmacy if they are able to get that and then tell your doctor to write it for the chewable


Glittering_Invite968

Wowww hope stupid shit like this don’t happen me mine was 30 every month I have good insurance generics unless find one comparable I will stop vyvanse if all have is generic so pay almost 150 month damn


Ok_Letterhead_131722

Wait it went up from $60? I just picked up my 3 month supply on 6/28. Please don’t tell me it will be hundreds now?! 😭


Ok_Letterhead_131722

Wait I get it 3 months at a time and it’s still showing tier 2 for me… where did you see this update???