Recently go a letter from my insurance that Concerta is no longer being paid starting in January and they gave a few alternatives

one being methylphenidate er (which I don't think is the same as Concerta)

anyone else have this problem?

I tried using the concerta discount coupon but still was charged over $150. My prescription insurance provider said that it is because there is a $260 penalty for a prescription that says brand only (DAW1 - dispense as written). We are applying for a prior authorization waiver but I don't know if they will approve it because there are other generics available- just that none of them are actually equivalent- as they don't have Concerta's OROS delivery system. If they do approve it, we will pay $46 per month without the coupon - (not sure how much with). Has anyone faced a similar situation or found a better solution? Thanks!

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We need to switch to a new med now. Our insurance only covers generic. DD needs a stimulant and one that lasts as long as Concerta. Anyone have good luck with a long acting stimulant generic? If so, which one?

Many of the meds that don't have generic have manufacturer coupons that make it almost as cheap as generics. DS takes cotempla, which has no generic, but thanks to a coupon, I pay only $15 a month (would normally pay $50 for name brand, compared to $10 for generic).

We wanted to do this with Concerta but the coupon is only applicable to insurance copays. Since our insurance refuses to cover the drug, even for a higher copay, we aren’t eligible. Do you have to use insurance with the Contempla coupon?

My insurance covers it so I can't speak from experience, but it looks like if your insurance doesn't cover it, the coupon brings the cost to $50. https://aytubio.com/downloads/AytuCoupon/Aytu-Retail-Coupon-Digital-Download.pdf

The coupon works better at cvs than Safeway.

Thank you for sharing this info!

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We need to switch to a new med now. Our insurance only covers generic. DD needs a stimulant and one that lasts as long as Concerta. Anyone have good luck with a long acting stimulant generic? If so, which one?

Many of the meds that don't have generic have manufacturer coupons that make it almost as cheap as generics. DS takes cotempla, which has no generic, but thanks to a coupon, I pay only $15 a month (would normally pay $50 for name brand, compared to $10 for generic).

We wanted to do this with Concerta but the coupon is only applicable to insurance copays. Since our insurance refuses to cover the drug, even for a higher copay, we aren’t eligible. Do you have to use insurance with the Contempla coupon?

My insurance covers it so I can't speak from experience, but it looks like if your insurance doesn't cover it, the coupon brings the cost to $50. https://aytubio.com/downloads/AytuCoupon/Aytu-Retail-Coupon-Digital-Download.pdf

The coupon works better at cvs than Safeway.

Anonymous wrote:

Anonymous wrote:We need to switch to a new med now. Our insurance only covers generic. DD needs a stimulant and one that lasts as long as Concerta. Anyone have good luck with a long acting stimulant generic? If so, which one?

Many of the meds that don't have generic have manufacturer coupons that make it almost as cheap as generics. DS takes cotempla, which has no generic, but thanks to a coupon, I pay only $15 a month (would normally pay $50 for name brand, compared to $10 for generic).

We wanted to do this with Concerta but the coupon is only applicable to insurance copays. Since our insurance refuses to cover the drug, even for a higher copay, we aren’t eligible. Do you have to use insurance with the Contempla coupon?

Anonymous wrote:We need to switch to a new med now. Our insurance only covers generic. DD needs a stimulant and one that lasts as long as Concerta. Anyone have good luck with a long acting stimulant generic? If so, which one?

Many of the meds that don't have generic have manufacturer coupons that make it almost as cheap as generics. DS takes cotempla, which has no generic, but thanks to a coupon, I pay only $15 a month (would normally pay $50 for name brand, compared to $10 for generic).

We need to switch to a new med now. Our insurance only covers generic. DD needs a stimulant and one that lasts as long as Concerta. Anyone have good luck with a long acting stimulant generic? If so, which one?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The vast vast majority of concerta users are being prescribed one of the other generics. Those continue to be available. That’s what cvs and Walgreens (and I’m sure other major pharmacies) dispense unless you make a special request.

Just curious if that’s what you take and it works for you. My child has had bad experiences on those. So have my friend’s kids. Our psychiatrist warned us not to accept the other generics because they are ineffective. The FDA even pulled several years ago. It’s well established that there are major issues with the generics mainly due to the delivery system. The reason Concerta works is the OROS system.

My kid has always taken one of the other generics, so I can’t compare to the one referenced, but yes, the generic she takes works very well.

Which generic brand does your kid take specifically?

Anonymous wrote:

Anonymous wrote:The vast vast majority of concerta users are being prescribed one of the other generics. Those continue to be available. That’s what cvs and Walgreens (and I’m sure other major pharmacies) dispense unless you make a special request.

Just curious if that’s what you take and it works for you. My child has had bad experiences on those. So have my friend’s kids. Our psychiatrist warned us not to accept the other generics because they are ineffective. The FDA even pulled several years ago. It’s well established that there are major issues with the generics mainly due to the delivery system. The reason Concerta works is the OROS system.

My kid has always taken one of the other generics, so I can’t compare to the one referenced, but yes, the generic she takes works very well.

Yes. I am I clear about how to determine if generic are a good substitute and if they are always the same ingredients.

Anonymous wrote:The vast vast majority of concerta users are being prescribed one of the other generics. Those continue to be available. That’s what cvs and Walgreens (and I’m sure other major pharmacies) dispense unless you make a special request.

Just curious if that’s what you take and it works for you. My child has had bad experiences on those. So have my friend’s kids. Our psychiatrist warned us not to accept the other generics because they are ineffective. The FDA even pulled several years ago. It’s well established that there are major issues with the generics mainly due to the delivery system. The reason Concerta works is the OROS system.

The one that they make for pennies in India. Could I make that one at home?

The vast vast majority of concerta users are being prescribed one of the other generics. Those continue to be available. That’s what cvs and Walgreens (and I’m sure other major pharmacies) dispense unless you make a special request.

Hmm

I just learned that Concerta will no longer be available as an authorized generic as of January. I thought I’d share here since I know I’m not the only parent who has depended on the authorized generic since the other generics are so awful.

Here’s the source:

https://adhdrollercoaster.org/adhd-news-and-research/janssen-bombshell-ends-concerta-authorized-generic/