Practical guide for providers on helping patients find Zenzedi in stock in 2026. Includes actionable steps, alternative options, and workflow tips for your practice.
Your patients who take Zenzedi (dextroamphetamine sulfate) for ADHD or narcolepsy are likely telling you the same thing: they can't find it. As a prescriber, you're in a unique position to help — both by understanding the supply landscape and by taking proactive steps to improve your patients' access to this medication.
This guide provides practical strategies your practice can implement today.
Zenzedi remains one of the most difficult ADHD medications to find in 2026, with a findability score of 35 out of 100. While the DEA's 25% amphetamine production quota increase in October 2025 has begun to improve overall stimulant supply, brand Zenzedi — as a low-volume, single-manufacturer product — has seen less improvement than higher-volume generics.
Key facts for your practice:
The three major pharmaceutical wholesalers (McKesson, Cardinal Health, AmerisourceBergen) allocate controlled substances based on historical purchasing patterns. Since Zenzedi is a low-volume product at most pharmacy locations, many pharmacies receive zero allocation — meaning they cannot order it even when they want to.
The relatively small number of patients on Zenzedi (compared to Adderall or Vyvanse) means that when a pharmacy does stock it, a single patient's monthly fill can deplete their entire supply. This creates a cycle where pharmacies are frequently "out" even when they technically carry the product.
From a pharmacy's perspective, stocking Zenzedi carries financial risk: it ties up inventory dollars in a slow-moving, expensive brand product with unpredictable demand. Many pharmacy buyers choose to allocate their controlled substance purchasing budgets to higher-volume products instead.
Following Azurity's 2024 voluntary recall, some pharmacies and their corporate buyers became more conservative about ordering Zenzedi, preferring to stock only generic dextroamphetamine or redirecting patients to alternative stimulants.
The Medfinder provider portal allows you to search for Zenzedi availability at pharmacies on behalf of your patients. The support team contacts pharmacies directly to verify real-time stock, then reports back with options. This can be delegated to a medical assistant or nurse and integrated into your prescribing workflow.
Counsel your Zenzedi patients to contact their pharmacy at least one week before their refill is due. This gives the pharmacy time to order the medication from their wholesaler or find an alternative source. Waiting until the last day creates unnecessary emergencies.
Independent pharmacies often have access to secondary wholesalers and more flexibility in sourcing niche medications. They may also participate in the Arbor E-Z Rx pharmacy network (4,000+ locations), which has a direct relationship with Azurity for Zenzedi distribution.
Keeping a short list of reliable independent pharmacies in your area that stock Zenzedi (or can order it) saves time for both your practice and your patients.
When clinically appropriate, consider these strategies:
Cost can compound the access problem. Make sure patients know about:
When Zenzedi is unavailable, these alternatives are worth discussing:
Assign a medical assistant or nurse to handle medication access issues. This person can check Medfinder, call pharmacies, assist with savings program enrollment, and manage prior authorization paperwork — freeing up prescriber time for clinical decisions.
Before sending a new Zenzedi prescription, have staff verify that the receiving pharmacy has it in stock. A two-minute check via Medfinder or a quick call prevents the patient from arriving at the pharmacy only to find it's unavailable.
Maintain a running list of pharmacies in your area that reliably carry Zenzedi or can order it within 1–2 business days. Update it quarterly. Share it with patients who are starting on Zenzedi for the first time.
The Zenzedi shortage is frustrating for patients and providers alike, but proactive steps from your practice can make a meaningful difference:
For more provider resources:
You focus on staying healthy. We'll handle the rest.
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