XELSTRYM

Indicated For

Attention-Deficit/Hyperactivity Disorder (ADHD)

About This Medication

# Noven C.A.N. Patient Access Program Patient Guide: How to Get XELSTRYM (dextroamphetamine) at Low or No Cost XELSTRYM (dextroamphetamine) is a prescription transdermal patch used to treat **Attention Deficit Hyperactivity Disorder (ADHD)** in adults and children aged 6 years and older. The **Noven C.A.N. Patient Access Program** from Noven Pharmaceuticals helps **uninsured or underinsured patients** access XELSTRYM at low or no cost, and offers **copay savings** for those with commercial insurance.[1][3][5] ## About XELSTRYM XELSTRYM is a once-daily skin patch that delivers dextroamphetamine, a stimulant medication that helps improve focus, attention, and impulse control in people with ADHD. Apply the patch to clean, dry, hairless skin on the hip each morning and remove it after 9 hours. Common side effects include decreased appetite, insomnia, dry mouth, anxiety, and increased heart rate. Always follow your doctor's instructions and report any serious side effects like chest pain or mood changes immediately. This program makes this important treatment more affordable.[1][5][6] ## Who Qualifies? The Noven C.A.N. Patient Access Program is designed for patients who struggle with the cost of XELSTRYM. It supports: - **Uninsured patients** with no prescription coverage. - **Underinsured patients** whose insurance doesn't cover the full cost. - **Commercially insured patients** seeking copay assistance through the XELSTRYM Co-Pay Savings Program. Eligibility focuses on financial need and insurance status, but specific income thresholds are **not publicly specified** in available program details. Contact the program for personalized assessment, as they verify insurance and financial eligibility case-by-case.[1][3][5] ## Income Eligibility Breakdown Income limits are not detailed in current sources, noted as "Income thresholds not specified in available sources." Similar programs often use a percentage of the **Federal Poverty Level (FPL)**, such as up to 400% FPL, but confirm directly with Noven C.A.N.[1][2][10] Here's a general table based on 2026 FPL guidelines for reference (adjust for household size and contact program for exact rules): | Household Size | 100% FPL | 400% FPL (Example Threshold) | |---------------|----------|------------------------------| | 1 | $15,060 | $60,240 | | 2 | $20,440 | $81,760 | | 3 | $25,820 | $103,280 | | 4 | $31,200 | $124,800 | *Note: These are illustrative U.S. FPL figures for 2026 in the contiguous states. Actual program criteria may differ; call (833) 483-2178 to verify.*[2][10] ## Insurance Requirements This program is primarily for **uninsured or underinsured patients**. It does **not** appear to support patients on government insurance like Medicare or Medicaid without specific denials or exceptions—check with the program. For **commercially insured patients**, a separate **copay savings card** reduces out-of-pocket costs at partner pharmacies. Submit primary insurance claims first, then use the savings program for any balance.[1][2][5][8] ## Step-by-Step Application Process 1. **Visit the Website or Call**: Start at https://www.xelstrym.com or call **(833) 483-2178** to speak with Noven C.A.N. support. They guide you on coverage, prior authorizations, and eligibility.[3][5] 2. **Gather Information**: Prepare patient details (name, DOB, address—no P.O. boxes), doctor's info, insurance details, and any income proof if requested.[1] 3. **Complete Enrollment**: Use the **online portal** at the XELSTRYM site for copay savings or download/fax an enrollment form (similar to other Noven programs). Your doctor must sign, confirming the prescription.[1][5] 4. **Submit Application**: Options include online submission, phone assistance, fax, or mail. Multiple methods available (applicationMethod: "multiple").[1] 5. **Verification**: Program verifies insurance, income, and eligibility. They may contact you or your doctor for more info.[1][2] 6. **Approval Notification**: Expect a decision letter or automated alert. If approved, medication ships or copay card activates.[2] ## Timeline and Delivery Processing time varies but similar programs process complete applications in **2 business days** to **4 weeks**.[2][7] Delivery method not specified—likely direct to patient, doctor's office, or pharmacy pickup. For copay savings, use at partner pharmacies. Track status by calling (833) 483-2178.[1][2][5] ## Alternatives if Denied - **Appeal**: Ask for reasons and resubmit with more documents.[1] - **Other PAPs**: Check general databases like NeedyMeds or RxAssist for ADHD meds. - **Copay Programs**: If commercially insured, use XELSTRYM Co-Pay Savings regardless.[5][8] - **Generic Options**: Discuss amphetamine alternatives with your doctor. - **State Programs**: Look into local ADHD assistance or low-income clinics. No biosimilar alternatives listed for XELSTRYM.[ ] ## Important Disclaimer This guide is for informational purposes based on available public data as of 2026. Program details can change; **always verify with Noven C.A.N. at (833) 483-2178 or https://www.xelstrym.com**. Not medical advice—consult your healthcare provider. Noven Pharmaceuticals reserves the right to modify eligibility or end the program. Participation may affect taxes or benefits; seek professional advice.

Program information last verified: March 30, 2026