View Full Version : IR Dex Options, 2016


Protazoid
06-08-16, 02:58 AM
Hello,

Here is an update on IR Dextroamphetamine options as of June 16th, 2016. I switched to Adderall for cost, but think I'm going to switch back.

Here was the last thread from 2014:
http://www.addforums.com/forums/showthread.php?t=162663

On Costs

Ok, I have a HSA and pay out of pocket. So I'm very sensitive to prices, and I'm sure others are too. So the question to ask is: How do you know if you are getting a good price?

First, check goodrx (www.goodrx.com), it can save you money. Compare coupon price with insurance or cash price. Not affiliated, just trying to help.

Second, look up the medicaid statistics that will show the AMP (average manufacturer price), FUL (federal upper limit for medicaid reimbursement), and NADAC (national average drug acquisition cost), refer to sources if interested.

Basically, the AMP is the average purchase price wholesalers buy from manufacturers, while the NADAC is the average price pharmacists pay from wholesalers. So wholesaler margin is NADAC - AMP, and retail pharmacy margin is what you pay minus the NADAC.

Why is this useful? Well if you look at the most recent statistics the AMP of 10mg Dextroamphetamine tabs are $0.47/tab, and the NADAC is $1.37/tab. Seems like alot of margin for the wholesaler.

Retail prices can be from $0.70/tab to $2.30/tab depending on where you shop and if you use coupons or insurance prices. Negotiate and complain, the number of Dextroamphetamine suppliers has drastically increased but the price has gone up significantly in the last few years.

Doesn't seem like we are getting a good deal. Nothing will change if people don't ask if prices are fair.

Brand Dexedrine IR Options

Brand: Dexedrine
Marketer: Amedra Pharmaceuticals LLC
Manufacturer: Corepharma, LLC
Marketing Start Date: 7/1/2014
Dosage (mg) - 5, 10
NDC (10mg) - 52054-216-10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=9ee6fd99-88ea-4cea-8370-a8945581325f&type=pdf&name=9ee6fd99-88ea-4cea-8370-a8945581325f
Medicaton Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=9ee6fd99-88ea-4cea-8370-a8945581325f
Pill Image (10mg) - http://images.ddccdn.com/images/pills/fio/COR02160.JPG
Notes - Brand Dexedrine is back in IR format! Well sorta, its basically just the corepharma generic repackaged with the Dexedrine name and higher cost.

Brand - Zenzedi
Marketer - Arbor Pharmaceuticals
Manufacturer - Mikart Inc
Marketing Start Date - 5/31/2013
Dosage (mg) - 2.5, 7.5, 10, 15, 20, 30
NDC (10mg) - 24338-853-10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=d6394df5-f2c9-47eb-b57e-f3e9cfd94f84&type=pdf&name=d6394df5-f2c9-47eb-b57e-f3e9cfd94f84
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=d6394df5-f2c9-47eb-b57e-f3e9cfd94f84
Pill Image (10mg) - http://images.ddccdn.com/images/pills/fio/MIA05100.JPG
Notes - Exact same pill as Wilshire generic at 5mg and 10mg dosages

Generic Dexedrine IR Options

Marketer - Barr Laboratories Inc
Manufacturer - Teva Pharmaceuticals USA
Marketing Start Date - 2/12/2001
Dosage (mg) - 5, 10
NDC (10mg) - 0555-0953-02
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=ec2d13f3-d14f-47e4-abe9-7763f95a8e94&type=pdf&name=ec2d13f3-d14f-47e4-abe9-7763f95a8e94
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=ec2d13f3-d14f-47e4-abe9-7763f95a8e94
Pill Image (10mg) - http://www.cvs.com/webcontent/images/drug/DrugItem_3891.JPG

Marketer - Mallinckrodt, Inc.
Manufacturer - Mallinckrodt, Inc.
Marketing Start Date - 2/5/2010
NDC (10mg) - 0406-8959-01
Dosage (mg) - 5, 10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=e05cf690-d45a-4696-a1bf-40c9350cc084&type=pdf&name=e05cf690-d45a-4696-a1bf-40c9350cc084
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=e05cf690-d45a-4696-a1bf-40c9350cc084
Pill (10mg) - http://www.cvs.com/webcontent/images/drug/DrugItem_1059.JPG
Note - I believe this brand has been available for much longer than 2010, but that is what is listed on drug label above.

Marketer - Aurobindo Pharma USA, Inc.
Manufacturer - Aurolife Pharma LLC
Marketing Start Date - 2/14/2012
NDC (10mg) - 13107-036-01
Dosage (mg) - 5, 10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=24163442-dd03-4066-a6ed-eb7e292b700b&type=pdf&name=24163442-dd03-4066-a6ed-eb7e292b700b
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=24163442-dd03-4066-a6ed-eb7e292b700b
Pill Image (10mg) - https://www.cvs.com/webcontent/images/drug/DrugItem_18949.JPG

Marketer - Wilshire Pharmaceuticals, Inc.
Manufacturer - Mikart Inc
Marketing Start Date - 7/20/2012
NDC (10mg) - 52536-510-01
Dosage (mg) - 5, 10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=6b8c97ac-c83c-4a1f-a33c-121239253abf&type=pdf&name=6b8c97ac-c83c-4a1f-a33c-121239253abf
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=6b8c97ac-c83c-4a1f-a33c-121239253abf
Pill Image (10mg) - http://images.ddccdn.com/images/pills/fio/MIA05100.JPG
Notes - Exact same pill at Zenzedi brand.

Marketer - CorePharma, LLC
Manufacturer - CorePharma, LLC
Marketing Start Date - 5/15/2014
NDC (10mg) - 64720-216-10
Dosage (mg) - 5, 10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=a154799a-5b54-4a5e-b5c3-5c9334a3569e&type=pdf&name=a154799a-5b54-4a5e-b5c3-5c9334a3569e
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=a154799a-5b54-4a5e-b5c3-5c9334a3569e&type=display
Pill Image (10mg) - http://images.ddccdn.com/images/pills/fio/COR02160.JPG
Notes - Exact same pill at Dexedrine brand

Marketer - KVK-Tech, Inc
Manufacturer - KVK-Tech, Inc
Marketing Start Date - 11/23/2015
NDC (10mg) - 10702-066-01
Dosage (mg) - 5, 10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=863d66fe-9c38-463a-afa1-552647494c5a&type=display
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=863d66fe-9c38-463a-afa1-552647494c5a
Pill Image (10mg) - http://images.ddccdn.com/images/pills/fio/KVK00660.JPG
Notes - Most recently available generic.

Approved Generics Not Yet Available

Marketer - Novel Laboratories, Inc.
Manufacturer - Novel Laboratories, Inc.
Marketing Start Date - 3/16/2016
NDC (10mg) - 40032-871-10 (1000 unit pack)
Dosage (mg) - 5, 10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=9f0426b4-ecf2-4345-b1cf-c5f48832126b&type=pdf&name=9f0426b4-ecf2-4345-b1cf-c5f48832126b
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=9f0426b4-ecf2-4345-b1cf-c5f48832126b
Pill Description (10mg) - Pink, Round, 10mm, n;871 imprint; No image found.

Marketer - GAVIS Pharmaceuticals, LLC
Manufacturer - Novel Laboratories, Inc.
Marketing Start Date - 4/25/2016
NDC (10mg) - 43386-871-01
Dosage (mg) - 5, 10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=9aea6b7c-729c-484d-b625-c3591b63b350&type=pdf&name=9aea6b7c-729c-484d-b625-c3591b63b350
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=9aea6b7c-729c-484d-b625-c3591b63b350
Pill Description (10mg) - Pink, Round, 10mm, n;871 imprint; No image found.
Note - Same pill description as Novel. Gavis/Novel related parties. I think they will only market one as this one comes in 30/100/1000 packages but the Novel Labs label only comes in 30/1000.

Marketer - Zydus Pharmaceuticals (USA) Inc.
Manufacturer - Nesher Pharmaceuticals USA LLC.
Marketing Start Date - 3/28/2016
NDC (10mg) - 68382-942-01
Dosage (mg) - 5, 10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=0d50f495-f1e0-4231-b0c3-6ebb7ad68f4e&type=pdf&name=0d50f495-f1e0-4231-b0c3-6ebb7ad68f4e
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/medguide.cfm?setid=0d50f495-f1e0-4231-b0c3-6ebb7ad68f4e
Pill Description (10mg) - Pink, Round, 10mm, N942 imprint; No image found.

Mikart also has a generic entry for the same dosages and pills as Zenzedi, but I doubt they will market them any time soon since Arbor is marketing the brand, and Willshire is marketing the generic. I believe all three are related parties.

Sources
Daily Med - https://dailymed.nlm.nih.gov/dailymed/
FDA Drug Approvals - https://www.accessdata.fda.gov/scripts/cder/drugsatfda/
Medicaid FUL & NADAC Statistics - https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Prescription-Drugs/Pharmacy-Pricing.html

Little Nut
06-08-16, 11:50 AM
Prot, I started a similar investigation, but ran into many walls in obtaining pricing to individual insurance companies. OTOH all of the pharmacies were able to provide retail pricing over the phone. I would call around to the local pharmacies and ask for price and any available discount programs in your area. Then check against the pricebots to see if they match any of them and go from there. Pls disregard if you are trying to gather information for a larger area of the map. -LN

Protazoid
06-09-16, 03:04 AM
It would be nice if we didn't have to run around town to find a pharmacy that won't charge us $100-$200 for a drug that has been marketed for 50 years.

Little Nut
06-09-16, 10:14 AM
I agree totally. You don't actually have to "go" to each pharmacy, but you still have phone each one in your case. For me to find out which pharmacy is the cheapest for my insurance carrier, I actually have to get a prescription filled at the pharmacy in question to find out.

For my $0.02, for generics it is not necessarily Big Pharma causing excessive pricing, but the lack of transparency for costing along the supply chain.

emperorpenguin
06-28-16, 07:32 PM
My psychiatrist very recently switched me from Adderall to Dexedrine at my request. When she looked up Dexedrine on a smartphone app (not sure which), it only came up with various dosages of extended-release, so that's what she wrote. I'd prefer IR, as I have significant insomnia and have to be very careful with any kind of stimulant in the afternoon. Cost is the same with my insurance so that's not at issue.

I called 3 pharmacies and they all reported only stocking ER as well...from this I concluded that IR just wasn't available, but that seems not to be the case? I've struggled to find accurate information outside of the forums (which, unlike this thread, are usually several years old).

What can I show my doc as a reference so that she can write a script for IR next time? Thanks!

jeffb74
06-29-16, 01:30 AM
If you are okay with generic, ask your p-doctor to write a prescription for dextroamphetamine sulfate which in generic ir comes in 5mg and 10mg. I also learned that 5mg and 10mg ir pills for zenzedi are actually generic made by wilshire pharmaceuticals so there is another option( I was told you ask for the Zenzedi 5mg or 10mg tabs..

Zenzedi also comes in other dosages, check out their website but the other dosages are considered branded generic so they might cost more depending on your prescription plan. The branded generic comes in I think 2.5 mg, 7.5 mg, 15mg, 20 mg, and 30 mg. Good luck, Jeff

emperorpenguin
07-03-16, 04:58 PM
If you are okay with generic, ask your p-doctor to write a prescription for dextroamphetamine sulfate which in generic ir comes in 5mg and 10mg. I also learned that 5mg and 10mg ir pills for zenzedi are actually generic made by wilshire pharmaceuticals so there is another option( I was told you ask for the Zenzedi 5mg or 10mg tabs..

Zenzedi also comes in other dosages, check out their website but the other dosages are considered branded generic so they might cost more depending on your prescription plan. The branded generic comes in I think 2.5 mg, 7.5 mg, 15mg, 20 mg, and 30 mg. Good luck, Jeff

Thanks so much! Having a brand name to reference (Zenzedi) ought to be very helpful. My assumption is that, searching under Dexedrine, she couldn't find any IR because branded Dexedrine IR was previously not in production for some period (I think?). 10mg tabs will be perfect; I can frontload 15mg in the morning and have another 5-10mg booster in the afternoon. :)

redrose
07-20-16, 06:40 AM
Hello,

Here is an update on IR Dextroamphetamine options as of June 16th, 2016. I switched to Adderall for cost, but think I'm going to switch back.



Marketer - CorePharma, LLC
Manufacturer - CorePharma, LLC
Marketing Start Date - 5/15/2014
NDC (10mg) - 64720-216-10
Dosage (mg) - 5, 10
Drug Label - https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=a154799a-5b54-4a5e-b5c3-5c9334a3569e&type=pdf&name=a154799a-5b54-4a5e-b5c3-5c9334a3569e
Medication Guide - https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=a154799a-5b54-4a5e-b5c3-5c9334a3569e&type=display
Pill Image (10mg) - http://images.ddccdn.com/images/pills/fio/COR02160.JPG
Notes - Exact same pill at Dexedrine brand



Corepharma is no longer producing generic IR. I spoke with them. Has anyone found their Brand Dexedrine?

laserrod
08-22-16, 01:16 AM
I was told by Walg that Zenzedi is NOT a generic brand!
How can this be?
I understand Zenzedi can be a BRAND(non-generic)if they sell a unique strength.
Walgr quoted me a price of like 300 for#90 10mg.

dg

laserrod
08-22-16, 01:25 AM
Thanks PROTOZIOD:goodpost::thankyou:

Harrya
11-24-16, 09:35 AM
My psychiatrist very recently switched me from Adderall to Dexedrine at my request. When she looked up Dexedrine on a smartphone app (not sure which), it only came up with various dosages of extended-release, so that's what she wrote. I'd prefer IR, as I have significant insomnia and have to be very careful with any kind of stimulant in the afternoon. Cost is the same with my insurance so that's not at issue.

I called 3 pharmacies and they all reported only stocking ER as well...from this I concluded that IR just wasn't available, but that seems not to be the case? I've struggled to find accurate information outside of the forums (which, unlike this thread, are usually several years old).

What can I show my doc as a reference so that she can write a script for IR next time? Thanks!

I get perscribed Adderall IR 20mg/day by my general physician and when i asked him to change me to Dexedrine IR he said he was happy to do it, but after typing on his computer he said he could only find the extended release version to perscribe me. Could it be because I didnt clarify that it was dextroamphetamine and he couldnt find the generic dex ir? Im not even familiar with the system he was using to look it up, could it be he couldnt find it because hes never perscribed it before? Is it because hes not a psychiatrist? Basically does anyone have some advice on what i could say to him to help get the right script?

jeffb74
11-27-16, 01:29 AM
If you are looking for dextroamphetamine sulfate (Dexedrine) , ask your p-doctor to write a prescription for dextroamphetamine sulfate which in generic instant release tablets comes in 5mg tablets and 10mg tablets. I also learned that 5mg and 10mg ir pills for Zenzedi are brand name dextroamphetamine sulfate tablets but some prescription plans including mine will pay for them like generic since there several manufacturers of generic dextroamphetamine sulfate tablets in 5mg and 10mg doses.

Zenzedi(brand name) also comes in other dosages, check out their website but the other dosages are considered brand name so they likely will cost more depending on your prescription plan. The brand name Zenzedi tablets (instant release dextroamphetamine sulfate tablets) exclusively come in 2.5 mg, 7.5 mg, 15mg, 20 mg, and 30 mg tablets. As of now that would be the brand name.


Best of luck,

Jeff