u/Puzzled-Willow-8554

Has anyone switched from Dexedrine spansules to azstarys. I was on 50mg Dexedrine spansules daily. I told my psych I wanted to try azstarys as I knew I was about to hit the max 60mg for Dexedrine. He prescribed me the 39mg middle dose of azstarys. On it I have felt sleepy and less focused but also more focused in other ways I don’t know how to explain it but I also dont feel like it last about 8hrs not 10-12hrs. I’ve been on vyvanse, metadate CD, aderall XR and IR and zenzedi. How have people felt on focalin XR, concerta? Or would the best be to just increase the azstarys?

Hey guys just like the tittle states. I ended up having this conversation with my provider and he said he wouldn’t have an issue on his end prescribing me this. That it’s just like any other stimulant all it is it’s a medication to treat ADHD in his eyes. Can anyone guide me in the right direction with potential pharmacy complications and coverage? I see that brand desoxyn has a copay card active for 10mg daily so 5mgx2. I wanna know

1. How hard is it to get brand vs generic
2. Where is the easiest place to get and what generic has the least side effects.
3. What I can expect from this vs Dexedrine.
4. How likely insurance is to cover this with a PA or formulary exemption?
5. Any healthcare professionals within this group that have this prescribed to you. Do you find it harder or like you have a stigma over your shoulders for having this med filled at the hospital or in general if you work in direct patient care?

Edit: thank you all for the replies and messages didn’t think anyone would be this thorough so I really appreciate everyone who commented. Update: I looked on my pharmacy benefits manager which is optumrx. From what I understand insurance won’t cover it either brand or generic. Any suggestion how to go about this?

This is what it shows on brand:

Prior authorization

No

Step therapy

Yes

Any one of the following generics: amphetamine-dextroamphetamine IR/ER; dexmethylphenidate IR/ER; dextroamphetamine SR/IR; methylphenidate IR/ER; lisdexamfetamine.

Quantity limit

Yes

Yes. Maximum quantity of 5 per 1 day(s).

I was under the impression that wilshire 10mg was gonna be better than my last refill (sun pharm). I was reading some people’s posts about wilshire being basically the same as brand but I have not had that effect specially this month. Is winder where it’s at and what actual mg? I’m currently on 40mg dex spansule all at once in the morning and the a 10mg dose (IR) in the evening but the 10mg has not done ANYTHING for me again 10mg (wilshire). Any advise?