Xelstrym Coupons & Prices

A Xelstrym coupon can lower what you pay at the pharmacy counter for Xelstrym (dextroamphetamine transdermal system), the first and only FDA-approved amphetamine patch for ADHD. Xelstrym is a brand-only product with no generic version, so the cash price can be high. Enter your ZIP above to see today's price at pharmacies near you and print or text yourself a free Rx.com coupon. There is no membership and no sign-up: you show the coupon with your prescription at the pharmacy.

What is Xelstrym and how does the patch work?

Xelstrym is a skin patch (transdermal system) that delivers dextroamphetamine, a central nervous system stimulant in the amphetamine family. It is FDA-approved to treat Attention-Deficit/Hyperactivity Disorder (ADHD) in adults and in children 6 years of age and older. It was approved in March 2022 and is made by Noven Therapeutics, LLC. It is a Schedule C-II controlled substance.

Instead of swallowing a pill, the patient applies the patch to clean, dry skin on the upper arm, upper back, hip, chest, or flank, rotating the site each day. The label directs applying it about 2 hours before an effect is needed and removing it within 9 hours. Xelstrym comes in four strengths: 4.5 mg/9 hr, 9 mg/9 hr, 13.5 mg/9 hr, and 18 mg/9 hr. Unlike oral dextroamphetamine products, the patch is not approved for narcolepsy and is not approved for weight or obesity management. It is not for children under 6.

Manufacturer savings card vs. the Rx.com cash coupon

Noven runs an official co-pay savings program for Xelstrym, described on the manufacturer's own website (xelstrym.com). Like most brand co-pay cards, it is generally limited to people with commercial (private) insurance, and the terms, eligibility, and any limits vary and change over time. People with Medicare, Medicaid, TRICARE, or other government coverage are typically excluded, and so are people with no insurance at all. Check the manufacturer's site or ask your prescriber's office for the current terms before you count on it.

That is where a cash coupon fits. The Rx.com coupon is a cash-price discount, not insurance, so it can be used if you are uninsured, if you are on Medicare or another government plan that blocks the manufacturer card, or if the card is declined or your plan will not cover the patch. You cannot combine a cash coupon with insurance on the same fill, so it is worth comparing both. Prices vary a lot by pharmacy and ZIP code, so enter your ZIP above to see today's price near you. It is also worth asking the manufacturer whether any patient-assistance option exists if cost is a barrier.

Is there a generic, and what are the alternatives?

There is no generic version of the Xelstrym patch. It is the only amphetamine patch on the market, so no substitutable generic of this exact formulation exists and a pharmacist cannot swap it for a cheaper equal. That makes a cash coupon or the manufacturer program the main levers on price for this specific product.

If cost is the problem, the conversation to have with your prescriber is about other ADHD medicines, several of which do have generics. Only a prescriber can decide whether a different drug or form is appropriate, and doses are not interchangeable between forms. Options they may discuss include:

• dextroamphetamine oral products, including the brand Dexedrine (note these oral products carry a narcolepsy indication that the patch does not)
• mixed amphetamine salts such as Adderall and Adderall XR
• Vyvanse and its generic, lisdexamfetamine
• methylphenidate-based options, including methylphenidate, Concerta, and the methylphenidate patch Daytrana

Safety information you should know

Xelstrym carries a BOXED WARNING: amphetamines have a high potential for abuse and misuse, which can lead to substance use disorder including addiction, and overdose can be fatal. Your prescriber should assess your risk of abuse, misuse, and addiction before prescribing and keep monitoring during treatment. Xelstrym should not be used by anyone with a hypersensitivity to amphetamine products, or by anyone taking an MAO inhibitor now or within the past 14 days.

Other warnings on the label include sudden death and serious heart events in people with structural heart abnormalities or other serious heart problems; increases in blood pressure and heart rate; psychiatric reactions such as psychosis, mania, or new or worsening behavior problems and bipolar symptoms; slowed growth in children; peripheral vasculopathy including Raynaud's phenomenon; serotonin syndrome when combined with serotonergic drugs; and tics or worsening of Tourette's. Because it is a patch, there are also patch-specific risks: contact sensitization (which may mean stopping all amphetamine products), application site reactions, and increased drug absorption if the patch is exposed to outside heat such as heating pads, electric blankets, or hot tubs. Rotate application sites. This page is information, not medical advice. Talk with your doctor or pharmacist about your own health history and any other medicines you take.