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Key takeaways
Azstarys is a brand-name long-acting ADHD medication without any generic versions, so the Azstarys price is much higher than other ADHD medications.
Many insurance companies do not cover Azstarys, or they place restrictions on its approval.
People can save money by using a discount Azstarys coupon, comparing prices, or trying other, less expensive ADHD treatments.
Azstarys is a brand-name prescription medication that treats attention-deficit hyperactivity disorder (ADHD). It combines two long-acting versions of methylphenidate. Unfortunately, Azstarys costs much more than other ADHD stimulants because there is no generic alternative. Although insurance may cover it, many insurance companies restrict access to the drug. Both insured and uninsured patients may find themselves paying full price, but there are ways to save.
Is there a generic for Azstarys?
There is currently no generic version of Azstarys, which is patent-protected. Alternatively, patients or their caregivers can buy generic versions of similar drugs, such as methylphenidate, extended-release methylphenidate, or dexmethylphenidate, one of the active ingredients in Azstarys. An exact generic version of Azstarys will not be available until at least 2037.
Does insurance cover Azstarys?
Commercial health insurance and Medicare Part D drug plans vary in their coverage of Azstarys. Many plans cover Azstarys, but many don’t, particularly lower-cost marketplace insurance plans. Those that do cover Azstarys usually place restrictions on coverage, such as prior authorization and step therapy. Some may limit coverage to children under 17 years of age.
Medicaid coverage varies by state. When it is covered, the prescriber may need to submit additional documentation justifying the prescription.
How much does Azstarys cost without insurance?
The average retail price for Azstarys is $598 for 30, 39.2-7.8 mg capsules, enough medicine for 30 days of treatment, making $20 the average price per pill. This can add up to over $7,000 in a year.
The Azstarys cost will not vary by dosage strength, but prices will vary by pharmacy. It’s not possible to save money by buying a 90-day supply. Azstarys is a controlled substance, so it is sold in 30-day increments, no refills allowed.
While there is no generic version of Azstarys, there are generic versions of its base drug, methylphenidate. Among the various types of methylphenidate, the closest equivalent to Azstarys is long-acting dexmethylphenidate, one of its active ingredients. At full cash price, generic dexmethylphenidate can be purchased for one-tenth the price of Azstarys.
Compare Azstarys prices to related drugs |
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|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Azstarys (dexmethylphenidate/sexdexmethylphenidate) | $598 for 30, 39.2-7.8 mg capsules | $385 for 30, 39.2-7.8 mg capsules of brand-name Azstarys at Kroger | See latest prices |
| Dexmethylphenidate | $52 for 30, 5 mg tablets | $16 for 30, 5 mg tablets of generic dexmethylphenidate at Kroger | See latest prices |
| Concerta (methylphenidate HCl ER (Osm)
) |
$637 for 30, 36 mg tablets | $41 per 30, 36 mg tablets of generic Concerta at Kroger | See latest prices |
| Ritalin (methylphenidate HCl) | $99 per 60, 10 mg tablets | $20 per 60, 10 mg tablets of generic Ritalin at Costco Pharmacy | See latest prices |
| Adderall XR (amphetamine-dextroamphetamine ER) | $343 per 30, 30 mg extended-release capsules | $25 per 30, 30 mg extended-release capsules of generic Adderall XR at Walgreens | See latest prices |
| Vyvanse (lisdexamfetamine) | $557 for 30, 30 mg capsules | $63 for 30, 30 mg capsules of generic Vyvanse at CVS Pharmacy | See latest prices |
Prescription drug prices often change. These are the most accurate medication prices for ZIP code 23666 as of 03/04/26. Click the link under “See our lowest price” to see the latest drug prices.
How to get Azstarys without insurance
Azstarts can cost thousands of dollars a year, making it financially challenging to maintain treatment without insurance. Fortunately, there are numerous ways to overcome that challenge. While some uninsured people can rely on financial assistance from the manufacturer, Corium does not currently offer a patient assistance program or other financial assistance to uninsured patients. So let’s start with a few more certain ways to get needed ADHD treatment at a manageable cost:
1. Use a SingleCare prescription discount card
With a SingleCare Azstarys coupon, you could pay as little as $385 for 30, 39.2-7.8 mg capsules of brand-name Azstarys at Kroger, saving about $200 per month. Regularly using SingleCare discounts can increase the savings on future purchases and refills if you sign up for SingleCare’s bonus loyalty program.
Save up to 80% on Azstarys with SingleCare
Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.
2. Look for the lowest price
Comparing pharmacy prices can also save money, though savings on Azstarys may amount to only a few tens of dollars. However, those comparison savings can add up to hundreds of dollars per month when factoring in SingleCare. Our lowest price for Azstarys is more than $200 less than the highest pharmacy price.
3. Sign up for an Azstarys copay card
People with insurance who are denied coverage can save money with an Azstarys Savings Card. While the card reduces the copay when the drug is covered, it also discounts the Azstarys price when coverage is denied. Unfortunately, people on Medicare, Medicaid, veterans’ medical benefits, or who are uninsured are out of luck.
4. Talk to your healthcare provider about Azstarys alternatives
If the price of Azstarys is not affordable, ask the prescriber about other ADHD treatments like generic methylphenidate, extended-release methylphenidate, amphetamines, or non-stimulant medications. Chances are, some of these alternatives have been tried, but it’s worth exploring untried ones alongside lifestyle or behavior interventions.
- Azstarys, Corium
- Azstarys patent expiration, Pharsight