Azstarys (serdexmethylphenidate/dexmethylphenidate) is a brand-name oral capsule prescribed for ADHD in adults and some children. The cost of the drug, with and without insurance, can depend on several factors.

Azstarys is approved by the Food and Drug Administration (FDA) to treat attention deficit hyperactivity disorder (ADHD) in adults and children ages 6 years and older.

Read on to learn about the price of Azstarys. For details about the drug’s specific uses and more, see this article.

As with all medications, the cost of Azstarys can vary. Factors that may affect the price you’ll pay include:

  • your treatment plan
  • your insurance coverage
  • the pharmacy you use
  • whether Azstarys has a savings program (see the “Financial and insurance assistance” section below)

To find out what the cost of Azstarys will be for you, talk with your doctor, pharmacist, or insurance provider. Or look below in the next section to learn how much you can save by using an Optum Perks coupon.

To save money on your Azstarys prescription, explore these Optum Perks coupons.

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Simply show the Optum Perks coupon at your preferred pharmacy or order online and instantly save up to 80% without using insurance. The coupon doesn’t expire, so be sure to save it for refills.

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Retail price refers to the manufacturer’s published list price and is up to date as of 3/2023. Retail and discounted prices are U.S.-only and can vary based on region and pharmacy. We cannot guarantee that the discounted price listed here will exactly match the price at your pharmacy. Please contact your pharmacy for the exact price.

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Here are answers to some frequently asked questions about drug cost and Azstarys.

What’s the price of Azstarys with insurance?

If you have insurance, your cost for Azstarys depends on factors such as:

  • your particular plan benefits, including your drug copay amount
  • your dosage of the drug
  • whether you apply and qualify for a savings program

To find out how much Azstarys will cost with your insurance, contact your insurance provider or doctor.

You can also visit Optum Perks for price estimates for Azstarys when using coupons from the site. However, Optum Perks coupons cannot be used with any insurance benefits or copays. (Optum Perks is a sister site of Medical News Today.)

How does the cost of Azstarys compare with that of medications such as Adderall or Vyvanse?

The price you’d pay for Azstarys versus Adderall or Vyvanse depends on various factors such as:

  • the length of your treatment
  • whether there are payment assistance programs for your prescribed treatment
  • whether you’re paying out of pocket or have insurance

To learn more about the cost of Azstarys compared with other treatments for your condition, talk with your doctor, pharmacist, or insurance provider.

Azstarys is only available as a brand-name drug and doesn’t come in a generic version. A generic drug is an exact copy of the active ingredient in a brand-name medication.

Generics tend to cost less than brand-name drugs.


Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years. When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.

If you take Azstarys long term, you may be able to lower its cost in the following ways.

Getting a 3-month supply

You may be able to get a 90-day supply of Azstarys. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of trips to the pharmacy and help lower the cost. If you’re interested in this option, check with your doctor, pharmacist, or insurance provider.

Using a mail-order pharmacy

Azstarys may be available through a mail-order pharmacy. Using this type of service may help lower the drug’s cost and allow you to receive your medication without leaving home. Some Medicare plans may help cover the cost of mail-order medications. You may also be able to get a 90-day supply of the drug via mail order.

If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.

If you need financial support to pay for Azstarys, or if you need help understanding your insurance coverage, help is available. For example:

  • A program called CoriumCares is available for Azstarys. For more information and to find out whether you’re eligible for support, call 800-910-8432 or visit the program website.
  • Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:

To learn more about saving money on prescriptions with or without insurance, check out this article.

Below is information you may want to consider if you have insurance and receive a prescription for Azstarys.

If you have insurance, your insurance company may require prior authorization before it covers Azstarys. This means the company and your doctor will discuss Azstarys in regard to your treatment. The insurance company will then determine whether the medication is covered.

If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Azstarys requires prior authorization.

To learn more about ADHD, you can explore our ADHD hub.

Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.