2024 ADHD medication costs

In this article:

• Does insurance cover ADHD medication?
• ADHD medication costs with insurance
• ADHD medication costs without insurance
• ADHD medication prices
• How to save on ADHD medication costs
• Other ADHD costs to consider

In this article

• Does insurance cover ADHD medication?
• ADHD medication costs with insurance
• ADHD medication costs without insurance
• ADHD medication prices
• How to save on ADHD medication costs
• Other ADHD costs to consider

As the prevalence of attention-deficit hyperactivity disorder (ADHD) continues to increase, so does the demand for ADHD medication. The global ADHD drug market is expected to reach $18.6 billion by 2030, according to a report by Grand View Research. With more than 6 million children in the United States alone diagnosed with ADHD, and 77% of those cases medicated, it’s no wonder the market is booming.

But what does all this growth mean for the consumer? Are ADHD medications becoming more affordable or are they getting pricier? Let’s look at ADHD medication prices, whether insurance typically covers their cost, and ways to save money on your necessary prescriptions.

RELATED: ADHD medication and children

Does insurance cover ADHD medication?

“ADHD is categorized as a mental disorder,” says Lea McMahon, LPC, the chief clinical officer at Symetria Recovery. “This disorder becomes prevalent in the early years of an individual and may continue into adulthood. ADHD affects your physical behavior, for example, how you sit or pay attention to a specific task.” Because ADHD can affect the quality of life so significantly, one would expect insurance to pay for ADHD medication. 

The good news is that most insurance plans (including Medicaid and Medicare) with prescription drug coverage will cover a percentage of the cost of ADHD medication.

If a generic version of a drug is available, the insurance plan is more likely to cover the generic and not the brand-name drug. For example, your plan may cover amphetamine-dextroamphetamine (generic Adderall) but not brand-name Adderall. Newer drugs, such as Qelbree, don’t have generic versions available yet and are less likely to be covered by insurance.

In some cases, especially in cases of brand-name drugs with no generic alternative, insurance requires prior authorization before covering ADHD medication. This means your healthcare provider will need to provide information to the insurance company about why you need the medication and how it will be used to treat your health condition. Prior authorization is often required by Medicaid for children who have been prescribed ADHD medication.

Health insurance companies have their own rules and regulations for ADHD medication coverage. Each plan has a list of covered drugs, called a formulary. Some plans don’t provide insurance coverage for certain ADHD medications or may require you to try a different medication first. You’ll either have to submit an appeal for coverage or ask your healthcare provider to switch to a medication that is included in your plan’s formulary.

How much does ADHD medication cost with insurance?

Before insurance kicks in, prices can be quite high for ADHD medications—even generic ones. For example, a prescription for generic Adderall (#60, 20 mg tablets) costs about $124 without insurance, although prices will vary by dosage and quantity as well as the pharmacy location. 

Insurance, Medicare, or Medicaid may not completely cover the cost of your prescription. The cost of ADHD medication with insurance will likely be higher before you reach your plan’s deductible. After you reach your deductible, your insurance will probably pay more or even completely cover the cost of your medication for the rest of the calendar year.

Another factor that affects ADHD medication prices with insurance is your plan’s formulary. The formulary ranks drugs in a tier system. The higher the tier, the more you’ll pay for the drug. Generic medications are usually lower tier drugs and, therefore, have a lower copay or coinsurance. Brand-name drugs are typically higher tier and more expensive.

How much does ADHD medication cost without insurance?

There are several types of FDA-approved drugs used for ADHD treatment. Each type of medication works a bit differently and has its own set of side effects. The cost of ADHD medication also varies depending on the type of drug and the prescribed dosage. Common drug classes used to treat ADHD include stimulants, non-stimulants, antidepressants, and other drugs used off-label.

“Stimulants have shown promising results when treating individuals with ADHD,” explains Dr. McMahon. “Ritalin, Adderall, and Dexedrine are classified under this category.” Most stimulants are available in affordable generic versions and extended-release formulations. 

Some extended-release ADHD medications are taken once a day, whereas immediate-release ADHD meds may be taken two or three times a day. The cost of ADHD medication can increase with the frequency of doses. For example, a one-month supply of immediate-release Adderall can contain up to 90 tablets, whereas a one-month supply of extended-release Adderall (Adderall XR) contains just 30 capsules.

Use the ADHD medication price chart below to compare prices of popular prescriptions. The most expensive stimulant medication (without insurance) is brand-name Concerta.

The cheapest stimulant listed below is generic Ritalin, which costs $66 per 60, 10 mg tablets or about $1 per 10 mg tablet.

* Prescription drug prices often change. These are the most accurate medication prices at time of publishing.

How to save on ADHD medication costs

There are several strategies people with ADHD can use to save money on medication costs. 

1. Use SingleCare

SingleCare offers discounts on prescription medications at no cost to you. By using SingleCare’s prescription discount card, you can save up to 80% on the cost of your ADHD medication. For example, 60, 10 mg tablets of generic Ritalin costs as low as $11 with a SingleCare coupon. That’s $56 in savings. Anyone with a valid prescription can use SingleCare’s free drug coupons at a participating pharmacy regardless of insurance status or income level.

2. Compare prices of ADHD medications at different pharmacies

The cost of ADHD medications can vary significantly from pharmacy to pharmacy. There are many treatment options available for ADHD. By comparing prices, you may ‌find a more affordable option. Search for your prescription on singlecare.com to compare drug prices at participating pharmacies near you. 

3. Check the drug’s manufacturer site for rebates

Drug manufacturers may sometimes offer a rebate or voucher to help offset the cost of their medications. This is especially true for newer, brand-name medications that recently entered the market. However, manufacturer coupons typically have strict eligibility requirements or are limited to a certain dollar amount, so be sure to read the fine print.

4. Ask your healthcare provider for an alternative medication

If you’re taking an expensive ADHD medication, ask your provider for medical advice about affordable alternatives or generic medications that may be available.

5. Find patient assistance programs

There are several patient assistance programs available that can help offset the cost of ADHD medication. Programs vary in terms of who is eligible and what’s covered.

Other ADHD costs to consider

Aside from the hefty expense of ADHD medications, there are other costs associated with ADHD treatment. It could take months or years to get a diagnosis, and ‌finding the right medication and dosage can be costly and time-consuming.

Cognitive behavioral therapy is helpful for most mental health disorders. As of 2016, 81% of children with ADHD were receiving behavioral treatment. The average cost of therapy for people with ADHD is about $100 and $250 per session.

Most people who are on medication for ADHD need frequent check-ups, often every three months. The cost of these appointments can add up quickly, especially for those with a high-deductible insurance plan or no insurance at all.

In adults, unemployment costs were about $66.8 billion, and productivity loss costs were estimated to be $28.8 billion in 2018, according to a study in the Journal of Managed Care & Specialty Pharmacy.

ADHD treatment can be expensive, but there are ways to save money. People with ADHD can find more affordable options by comparing prices at different pharmacies, using SingleCare, or checking for rebates from the drug manufacturer. Understanding other costs associated with ADHD treatment—such as therapy and testing—can help to plan for the overall expenses related to this condition and its treatment.