AZSTARYS

Indicated For

ADHD

About This Medication

# AZSTARYS Patient Guide: How to Get AZSTARYS at Low or No Cost AZSTARYS (serdexmethylphenidate and dexmethylphenidate) is a once-daily capsule used to treat ADHD in people aged 6 and older, but Corium, the manufacturer, **does not offer a traditional patient assistance program (PAP)** for uninsured or low-income patients. Instead, they provide a **Copay Savings Card** that can reduce costs to **$15-$60 per prescription** for eligible commercially insured patients.[1][2][4] ## About AZSTARYS **AZSTARYS** is a central nervous system (CNS) stimulant approved by the FDA for treating Attention Deficit Hyperactivity Disorder (ADHD) symptoms, such as inattention, impulsivity, and hyperactivity, in patients 6 years and older.[3][9] It combines serdexmethylphenidate (SDX), a prodrug of dexmethylphenidate (d-MPH), with immediate-release d-MPH in a 70/30 ratio for once-daily dosing. Available strengths include 26.1/5.2 mg, 39.2/7.8 mg, and 52.3/10.4 mg capsules.[5] As a **Schedule II controlled substance**, AZSTARYS carries risks of abuse, dependence, and addiction. It includes a Boxed Warning for these risks. Common side effects may include decreased appetite, insomnia, nausea, and anxiety. Always discuss with your healthcare provider (HCP) before starting, and report side effects to the FDA at 1-800-FDA-1088.[3][5] AZSTARYS is not recommended for children under 6. Without assistance, costs can be high—often hundreds of dollars monthly—making savings programs essential.[4][8] ## Who Qualifies for Savings? Corium's primary support is the **AZSTARYS Copay Savings Program**, **not a free medication PAP**. Key eligibility: - **Age**: 6 years and older with a valid AZSTARYS prescription.[1][2] - **Insurance**: **Commercial/private insurance only** (e.g., employer plans). **Uninsured patients are not eligible**.[1][2][4] - **Exclusions**: Not valid for government insurance like **Medicare, Medicaid, TRICARE, VA, or other federal/state programs**.[2][4] - **Benefits**: Commercially insured patients pay **no more than $15 on first fill** and **$60 max per prescription** thereafter, even without prior authorization (PA). Pharmacist applies the card at most retail pharmacies.[1][2][4] **No income requirements** apply, as this is a copay card, not an income-based PAP.[1][4] As of early 2026, no generics are available, and no formal PAP exists for uninsured/underinsured patients.[4] ## Income Eligibility Breakdown Since there is **no income-based PAP**, the table below summarizes copay card eligibility (income-neutral) vs. typical PAP structures for context: | Category | AZSTARYS Copay Card | Typical PAP (Not Offered by Corium) | |-----------------------|--------------------------------------|-------------------------------------| | **Insurance** | Commercial only; excludes govt plans | Uninsured/underinsured | | **Income Limit** | None | 400-500% FPL | | **Age** | 6+ | Varies | | **Max Benefit** | $15 first, $60/month max | Free meds 1 year | | **Renewal** | Per prescription; limits may apply | Annual reapplication | *Sources: Copay details from manufacturer site; typical PAPs from general knowledge.*[1][2][4] ## Insurance Requirements - **Commercial Insurance**: Eligible for copay card. May pay $15-$60 out-of-pocket. Prior authorization (PA) or step therapy may be needed for coverage, but card works even if PA is denied.[1][4] - **Government Insurance**: **Ineligible** for copay card (Medicare Part D often places AZSTARYS on high-cost tiers; Medicaid coverage varies by state).[2][4] - **Uninsured**: No manufacturer PAP; explore third-party options like NeedyMeds or RxAssist.[4][8] Do not seek reimbursement from insurance/FSAs for copay savings value.[2] ## Step-by-Step Application Process 1. **Check Eligibility**: Visit azstarys.com/savings-and-support. Answer: Is patient 6+? Covered by commercial insurance (not government)?[1] 2. **Get the Card**: Activate online or text for savings card. Bring to pharmacy.[1][2] 3. **Fill Prescription**: Pharmacist applies card for instant discount (up to $60 OOP). Call 1-347-624-5889 if issues (support 9am-8pm ET, 7 days).[1][2] 4. **Optional PA**: Ask HCP to submit PA for better coverage on refills.[1] 5. **Text Alerts**: Opt-in for prescription reminders (text STOP to 97648 to unsubscribe).[2] No formal application/docs needed beyond prescription and insurance verification at pharmacy.[1] ## Timeline and Delivery - **Activation**: Instant—card usable immediately at pharmacy.[1] - **Processing**: No wait; discount applies per fill. Support phone response same day.[2] - **Delivery**: Filled at your chosen retail pharmacy. No mail-order specified.[1][4] - **Refills**: Card works on each; maximum savings limits may apply. Check expiration via text alerts.[2] ## Alternatives if Denied or Ineligible - **Government Insured/Uninsured**: No Corium PAP. Try: - State Medicaid/pharmaceutical assistance. - Third-party: Partnership for Prescription Assistance (PPARx.org), NeedyMeds.org, RxAssist.org.[8] - Generic ADHD meds (e.g., methylphenidate ER) if appropriate—discuss with HCP.[4] - **PA Denial**: Copay card still works; appeal PA or switch meds.[1] - **High Cost**: Shop pharmacies; GoodRx may offer coupons (though copay card often better).[4] - **CoriumCares**: Call 800-910-8432 for general support/eligibility check.[8] ## Important Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility/terms can change; Corium reserves right to modify/discontinue program.[2] Consult your HCP, pharmacist, or call 1-347-624-5889 for personalized help. Verify current details at azstarys.com. Costs/pharmacy participation vary. Report program abuse risks.[1][2] (Word count: 942)

Program information last verified: March 30, 2026