Xelstrym costs $350–$500/month without insurance. Learn how to save with copay cards, patient assistance programs, and discount strategies in 2026.
Xelstrym is the first and only FDA-approved transdermal Dextroamphetamine patch for ADHD, and for many patients, it's been a genuine breakthrough. But there's one major drawback: the price. Without insurance, a 30-day supply of Xelstrym costs between $350 and $500, and there's no generic version available.
If you're struggling with the cost, you're not alone. In this guide, we'll walk through every option available to help you save money on Xelstrym in 2026 — from manufacturer copay cards to patient assistance programs to practical alternatives.
The cash (retail) price for Xelstrym varies by pharmacy and patch strength, but here's what you can generally expect:
These prices can vary significantly by pharmacy. Because Xelstrym is only available through the Noven C.A.N. Partner Pharmacy network, you may have fewer options to comparison-shop than with a typical medication.
Noven Pharmaceuticals offers a Copay Savings Program that is the single best way to reduce your out-of-pocket cost for Xelstrym if you have commercial health insurance.
How it works:
Who qualifies:
Who does NOT qualify:
If you have commercial insurance, this should be your first step. The enrollment process takes just a few minutes.
If you don't have insurance or your insurance doesn't cover Xelstrym, patient assistance programs (PAPs) may be able to help.
Contact the Noven C.A.N. Patient Access Team at 833-483-2178 (Monday–Friday, 9 AM–7 PM EST). They can help explore options for patients who cannot afford Xelstrym, including potential assistance programs and alternative access pathways.
NeedyMeds.org is a nonprofit that maintains a database of patient assistance programs, including those for prescription medications. Search for "Xelstrym" or "Dextroamphetamine" to find available programs.
RxAssist.org is another comprehensive resource that helps connect patients with pharmaceutical company programs and other sources of free or discounted medication.
Prescription discount cards can sometimes reduce the cash price of Xelstrym, though savings may be limited since it's a brand-only product. Cards to try include:
Important note: Discount cards typically offer the biggest savings on generic medications. For a brand-only drug like Xelstrym, the savings may be modest — but it's always worth checking. Even saving $20–$50 per fill adds up over the year.
Also note that you generally cannot combine a discount card with insurance or with the manufacturer copay savings card. Use whichever option gives you the lowest price.
If the cost of Xelstrym is simply too high, talk to your doctor about switching to a more affordable ADHD medication. The same active ingredient — Dextroamphetamine — is available in oral generic forms at a fraction of the cost:
These are proven ADHD medications that have been used for decades. While they don't offer the transdermal delivery method of Xelstrym, they treat the same condition with the same or closely related active ingredients.
For a detailed comparison, read our guide on alternatives to Xelstrym.
Your prescriber may have Xelstrym samples available from Noven. This can provide a free supply for a few weeks while you sort out insurance coverage or savings programs.
If your insurance denied coverage for Xelstrym, you have the right to appeal. Ask your doctor to submit a prior authorization with clinical documentation explaining why the transdermal patch is medically necessary for you. Common reasons include difficulty swallowing pills, GI absorption issues, or the need for dose flexibility during the day.
Some states offer prescription assistance programs for residents who meet income requirements. Contact your state's health department or visit NeedyMeds.org for state-specific resources.
While not directly a savings tool, the Mindful Patch app helps you stay on top of refills and avoid gaps in treatment. It also provides easy access to the copay savings program and partner pharmacy locator, ensuring you're always using the most cost-effective access pathway.
Xelstrym is an innovative ADHD treatment, but its $350–$500 monthly price tag is a real barrier for many patients. The good news is that there are multiple pathways to bring the cost down — from Noven's copay savings program (which can reduce costs to $0 for insured patients) to patient assistance programs for those without coverage.
Start with the manufacturer copay card if you have commercial insurance. If you're uninsured or underinsured, contact the Noven Patient Access Team at 833-483-2178 and check NeedyMeds.org. And if the cost is still too high, generic alternatives like Lisdexamfetamine or oral Dextroamphetamine offer effective ADHD treatment at a fraction of the price.
For help finding a pharmacy that has Xelstrym in stock, visit Medfinder.
You focus on staying healthy. We'll handle the rest.
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