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Vyvanse (lisdexamfetamine dimesylate)

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  #1  
Old 06-19-17, 01:11 AM
eestudent eestudent is offline
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Cost of Vyvanse

I'm switching health insurance and I'm running into some problems. It looks like my vyvanse is going to cost about $280-$300 a month. Is there anyway I can get that cost down? I don't meet the financial salary limits for Shire's financial assistance program.
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Old 06-19-17, 03:01 AM
mrh235 mrh235 is offline
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Re: Cost of Vyvanse

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Originally Posted by eestudent View Post
I'm switching health insurance and I'm running into some problems. It looks like my vyvanse is going to cost about $280-$300 a month. Is there anyway I can get that cost down? I don't meet the financial salary limits for Shire's financial assistance program.

Try and get your doctor to do a prior-authorization/appeal with your insurance company. If you're on medicaid it probably wont work. Some insurance can be such a scam at times like this >. I hate medicaid for that reason.
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Old 06-19-17, 11:46 AM
Swissy Swissy is offline
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Re: Cost of Vyvanse

I tried everything and even with coupons I was looking at relatively the same costs as you. For this reason I take adderall IR twice/ day. Costs me just under $70 for 60 pills.
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Old 06-19-17, 04:24 PM
mrh235 mrh235 is offline
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Re: Cost of Vyvanse

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Originally Posted by Swissy View Post
I tried everything and even with coupons I was looking at relatively the same costs as you. For this reason I take adderall IR twice/ day. Costs me just under $70 for 60 pills.

That's probably the best solution there is. Unfortunately there's no generic vyvanse till 2021, so that's lots of years with these ridiculous prices.
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Old 06-19-17, 06:15 PM
h_thrilla h_thrilla is offline
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Re: Cost of Vyvanse

I have a high deductible which translates to about $280 out of pocket a month. I have an HSA but still can't keep up with the cost. The manufacturer's coupon online did help; however, I still paid $206/month. I ended up switching to Adderall XR although its not much relief at the pocket at $140ish/mo. I am considering switching to a higher insurance premium during open enrollment just so I won't have a deductible. And I had zero clue about the Shire assistance program. Thank you; I think I may have to check that out!
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Old 06-24-17, 01:36 AM
CharlesH CharlesH is offline
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Re: Cost of Vyvanse

In case this helps, keep in mind that, in general, the cost of medication is based primarily on the *number* of pills, not the dosage. You could probably replicate the effects of Vyvanse reasonably well by just taking generic IR Adderall or Dexedrine, and dividing the dosage into smaller dosages throughout the day. Most IR pills are scored so that you can divide it in half, or even fourths.

For instance, let's say 50 mg Vyvanse roughly equals 20 mg Adderall. Then you could take 10 mg IR Adderall in the morning, 5 mg IR Adderall around noon, and 5 mg IR Adderall late afternoon/early evening.

30 Vyvanse pills would cost around $250-300 out of pocket. 30 20mg IR generic Adderall pills would cost you around $20 out of pocket (plus your insurance would be more likely to cover it, so you could end up paying even less).

Clinical studies (if you believe them) seem to indicate that Vyvanse is slightly more efficacious on average than other stimulants, but YMMV, and generic IR Adderall/Dexedrine might be cost-effective. Also, part of the rationale behind expensive extended release medications is that it prevents school age children from needing to visit the school nurse to receive medication, which can be stigmatizing for a child. That's not an issue for adults.
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