Azstarys Shortage Update: What Patients Need to Know in 2026

Azstarys in 2026: What's Going On With Supply?

If you take Azstarys for ADHD, you may have heard about medication shortages affecting stimulant drugs across the country. The big question on your mind is probably: can I still get my Azstarys?

Here's the latest on Azstarys availability, why it's been hard to find, what it costs in 2026, and exactly what you can do about it.

Is Azstarys Still in Shortage?

As of early 2026, Azstarys is not listed in the FDA's official drug shortage database. That's the good news. Unlike Adderall and certain generic amphetamine salts, Azstarys has not been subject to a formal, FDA-recognized shortage.

However, that doesn't mean it's easy to find. Many patients continue to report difficulty locating Azstarys at their local pharmacies. The reasons are related to the broader ADHD medication supply challenges that have persisted since late 2022, combined with Azstarys-specific factors.

The situation is best described as spotty availability rather than a complete shortage. Some pharmacies have it, others don't — and stock can change from week to week.

Why Is Azstarys Hard to Find?

Several factors are working together to create availability challenges:

The Broader Stimulant Supply Crunch

The ADHD medication shortage that began in late 2022 started with Adderall and generic amphetamine salts. When patients couldn't find those medications, many switched to alternatives — including methylphenidate-based drugs like Azstarys. This increased demand across the entire stimulant market.

The DEA sets annual manufacturing quotas for all Schedule II stimulants. While the DEA has increased quotas in response to the shortage, production still hasn't fully caught up with demand.

Brand-Name Only

There is no generic version of Azstarys as of early 2026. This means only one manufacturer — Corium — produces it. With a single source of supply, any production hiccup or distribution delay affects every patient.

Limited Pharmacy Stocking

Because Azstarys is a newer, brand-name-only medication, many pharmacies don't routinely stock it. If a pharmacy only fills a handful of Azstarys prescriptions per month, they may not keep it on their shelves. This creates a cycle where patients can't find it, so they switch to something else, which further reduces the incentive for pharmacies to stock it.

For a deeper dive into supply challenges, read why Azstarys is so hard to find in 2026.

How Much Does Azstarys Cost in 2026?

Cost is a major factor in whether patients can access Azstarys. Here's what to expect:

• Without insurance: Approximately $350 to $571 per month for 30 capsules, depending on the dose and pharmacy
• With commercial insurance + copay card: As low as $60 per month through Corium's copay savings program
• With insurance (no copay card): Varies widely — some plans cover it with a $30-$75 copay after prior authorization; others don't cover it at all

Corium's copay card is available for commercially insured patients and can bring the out-of-pocket cost down to $60 or less. You can sign up at azstarys.com/savings-and-support.

For more ways to reduce your costs, see our full guide on saving money on Azstarys.

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Are There New Options in 2026?

While no generic Azstarys has been approved yet, the ADHD medication landscape is evolving:

• Generic Lisdexamfetamine (Vyvanse generic) became available in 2023, giving patients a more affordable prodrug stimulant option
• Several generic methylphenidate ER products remain available and may be suitable alternatives
• New ADHD medications continue to be developed and may reach the market in the coming years

If you're open to alternatives, check out our guide on alternatives to Azstarys.

How to Find Azstarys in Stock Right Now

Here are the most effective strategies for finding Azstarys today:

1. Use Medfinder

Medfinder lets you search for Azstarys availability at pharmacies near your zip code. It shows you real-time stock information so you don't have to call pharmacy after pharmacy.

2. Try Independent Pharmacies

Independent pharmacies often have better luck sourcing controlled substances than chain pharmacies. They may also be willing to special-order Azstarys for you.

3. Ask About All Three Strengths

Azstarys comes in three strengths: 26.1 mg/5.2 mg, 39.2 mg/7.8 mg, and 52.3 mg/10.4 mg. If your prescribed strength is out of stock, ask your doctor if another strength could work. Sometimes a different dose is sitting on the shelf.

4. Fill Early

Don't wait until your last capsule to try filling your prescription. Fill at the earliest date your state and insurance allow to give yourself the best chance of finding stock.

For more detailed tips, see how to find Azstarys in stock near you.

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Final Thoughts

Azstarys is not in a formal shortage in 2026, but availability remains inconsistent. The combination of DEA quotas, single-manufacturer supply, limited pharmacy stocking, and ongoing stimulant demand makes it harder to find than it should be.

The best thing you can do is stay proactive: use Medfinder to track availability, build a relationship with a pharmacy that stocks Azstarys, and have a backup plan with your doctor in case you can't find it. Your ADHD treatment is too important to leave to chance.