Focalin Coupons & Prices

A dexmethylphenidate HCl coupon from Rx.com can lower what you pay at the pharmacy counter for this generic ADHD medication, whether you fill the immediate-release tablets (the generic of Focalin) or the extended-release capsules (the generic of Focalin XR). Cash prices for the same prescription vary widely from one pharmacy to the next, even between stores on the same street, so it pays to compare before you fill. Rx.com compares prices across more than 60,000 pharmacies nationwide. Enter your ZIP code above to see today's price near you and print, text, or show your free coupon at the counter.

What is dexmethylphenidate HCl and how does it work?

Dexmethylphenidate hydrochloride is a central nervous system (CNS) stimulant and a methylphenidate derivative. It is the active d-enantiomer of methylphenidate, meaning it is the single mirror-image half of that molecule that does most of the work. It is sold under the brand names Focalin (immediate-release tablets) and Focalin XR (extended-release capsules), and generic versions of both forms exist.

Dexmethylphenidate works by blocking the reuptake of dopamine and norepinephrine, which increases the levels of these chemical messengers in the brain. It is FDA-approved to treat Attention Deficit Hyperactivity Disorder (ADHD). The two forms are not approved for the same age range: the immediate-release tablets have established safety and effectiveness in pediatric patients ages 6 to 17, while the extended-release capsules are approved for pediatric patients ages 6 and older and for adults. The Focalin XR label states that the drug should be used as a part of a total treatment program for ADHD that may include counseling or other therapies.

What dexmethylphenidate HCl costs without insurance, and how a coupon helps

Because dexmethylphenidate is available as a generic, you do not have to pay the brand price for the same medicine. But generic does not automatically mean the same price everywhere. The cash price for an identical fill of dexmethylphenidate can differ significantly between pharmacies in the same town, because each pharmacy sets its own cash price. That is exactly why comparing matters more than assuming.

If you are paying cash, have no insurance, or your plan's copay is higher than the cash price, a free Rx.com coupon can bring the amount down. Enter your ZIP above to see today's price at pharmacies near you, then compare the coupon price against your copay and pay whichever is lower. There is no manufacturer savings card for generic dexmethylphenidate, so cash-price comparison is the practical lever. One note specific to this drug: because it is a controlled substance, some pharmacies keep limited stock, so it is worth calling ahead before driving to the lowest-priced store.

Dexmethylphenidate vs. other ADHD medications

Dexmethylphenidate is the generic of Focalin and Focalin XR. It is closely related to methylphenidate HCl, the drug found in Ritalin and Concerta. Methylphenidate contains both mirror-image forms of the molecule, while dexmethylphenidate contains only the more active d-form, so dexmethylphenidate doses are generally lower than the equivalent methylphenidate dose. Your prescriber decides which is appropriate for you.

Other commonly prescribed ADHD options work differently. Adderall and Vyvanse are amphetamine-class stimulants rather than methylphenidate-class. Atomoxetine is a selective norepinephrine reuptake inhibitor and is not a controlled substance. These are not interchangeable, and switching between them is a decision for your doctor. If you are comparing costs, check the price of each specific product you have been prescribed, since prices differ by drug, by form, and by pharmacy.

Safety information you should know

Dexmethylphenidate carries an FDA boxed warning for abuse, misuse, and addiction. CNS stimulants including dexmethylphenidate have a high potential for abuse and misuse, which can lead to substance use disorder including addiction. Misuse and abuse can result in overdose and death, with higher risk at higher doses or when taken by routes the label does not approve, such as snorting or injecting. Prescribers are expected to assess your risk before prescribing, counsel you and your family about the risks, safe storage, and disposal, and monitor you throughout treatment.

Separately, the label's dependence section notes that stopping the medication abruptly after heavy or prolonged use can bring on withdrawal symptoms, which it describes as dysphoric mood, depression, fatigue, vivid and unpleasant dreams, insomnia or hypersomnia, increased appetite, and psychomotor retardation or agitation. Do not stop on your own; any taper should be done under medical supervision.

Other important label points to discuss with your provider:

• Risk of sudden death, stroke, and heart attack in people with pre-existing structural heart abnormalities or other serious heart problems; the drug can also raise blood pressure and heart rate.
• It may worsen psychosis or bipolar illness, or cause new psychotic or manic symptoms.
• Priapism, meaning a prolonged and painful erection, has been reported and needs prompt medical attention.
• Peripheral vasculopathy, including Raynaud's phenomenon, affecting fingers and toes.
• Long-term suppression of growth in both weight and height in children, so growth should be monitored.
• It is contraindicated with MAO inhibitors, or within 14 days of stopping one, and in anyone with known hypersensitivity to methylphenidate.

The label's postmarketing experience section, which lists reports received after approval rather than labeled warnings, also includes serotonin syndrome in combination with serotonergic drugs. Tell your provider about any serotonergic medicines you take.

This page is general information, not medical advice. Tell your provider and pharmacist about every medicine and supplement you take, and follow the prescribing information that comes with your prescription.