A provider's guide to helping patients save on Azstarys. Copay cards, discount programs, generic alternatives, and cost conversation strategies.
For many patients with ADHD, the cost of medication is the single biggest barrier to adherence. Azstarys — a newer brand-name stimulant with no generic available — can cost patients $350 to $571 per month out of pocket. Even with insurance, high copays and prior authorization hurdles can lead to abandoned prescriptions.
As a prescriber, you're in a unique position to help. By knowing which savings programs exist and proactively discussing costs, you can significantly improve the chances that your patients actually fill and continue their Azstarys prescriptions.
This guide covers everything you need to know about Azstarys savings programs, discount options, and strategies for integrating cost conversations into your clinical workflow.
Understanding the current cost landscape helps frame the conversation:
The bottom line: for a significant number of patients, the retail price is prohibitive without some form of financial assistance.
Corium (a Sun Pharmaceutical company) offers a copay savings card that can reduce the patient's out-of-pocket cost to as little as $60 per month.
Key details:
Clinical tip: Have your front office staff or medical assistants keep copay card information on hand to share with patients at the time of prescribing. A printed card or QR code in the exam room can save patients the step of searching for it themselves.
As of early 2026, Corium does not offer a formal manufacturer-sponsored patient assistance program (PAP) for uninsured or underinsured patients beyond the copay savings card. This is a notable gap, especially for patients without commercial insurance.
However, third-party resources may help:
Direct patients (or their caregivers) to these resources if they don't qualify for the manufacturer copay card.
Prescription discount cards can help uninsured patients or those whose insurance doesn't cover Azstarys. These cards are free to use and work at most major pharmacies:
Important note: Discount cards cannot be combined with insurance. They function as an alternative to insurance pricing. For brand-name drugs like Azstarys, the discount may still result in a high price — but it's worth checking, especially compared to the full cash price.
For a comprehensive list of savings options for patients, see our patient-facing guide on how to save money on Azstarys.
When cost is a primary barrier and the patient hasn't tried other options, consider whether a therapeutic substitution might be appropriate:
Therapeutic substitution isn't always appropriate. Consider maintaining the Azstarys prescription when:
Research consistently shows that patients rarely initiate conversations about medication cost, even when it's a significant barrier. Here are practical strategies for making cost discussions a routine part of your prescribing workflow:
A simple question like "Do you have any concerns about the cost of this medication?" or "Would you like me to check if there are savings programs available?" can open the door. Make it part of your standard prescribing checklist.
Many insurers require prior authorization (PA) for Azstarys and may mandate step therapy through generic alternatives first. Familiarize yourself with the most common PA requirements for your patient population's major insurers. Consider using electronic PA tools (like CoverMyMeds) to streamline the process.
Don't wait for the patient to encounter sticker shock at the pharmacy. Hand them the copay card information, a list of discount card options, or a printed resource sheet when you write the prescription. This small step can prevent prescription abandonment.
If your practice volume allows, train a medical assistant or office coordinator to help patients navigate insurance coverage, prior authorizations, and savings programs. This takes the burden off the clinician while ensuring patients get the financial help they need.
Cost isn't the only barrier — availability matters too. Direct patients and staff to Medfinder for Providers to quickly identify pharmacies that have Azstarys in stock. Knowing where to send the prescription can prevent delays and wasted trips.
Note in the patient's chart that cost was discussed and what resources were provided. This supports continuity of care and demonstrates patient-centered prescribing practices.
Medication cost is a clinical issue, not just a financial one. When patients can't afford their prescriptions, they don't take them — and outcomes suffer. By proactively discussing cost, providing savings resources, and knowing when therapeutic substitution is appropriate, you can help more of your ADHD patients stay on treatment.
For additional provider resources, visit Medfinder for Providers. For clinical details on Azstarys, see our guides on how Azstarys works, Azstarys drug interactions, and the Azstarys shortage update for providers.
You focus on staying healthy. We'll handle the rest.
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