Medications

Armodafinil

Armodafinil

Previously Found with Medfinder

Comprehensive medication guide to {drug} including estimated pricing, availability information, side effects, and how to find it in stock at your local pharmacy.

Estimated Insurance Pricing
$10–$50 copay as a preferred generic; prior authorization commonly required, and step therapy through Modafinil may apply.
Estimated Cash Pricing
$150–$400 retail for generic; as low as $30–$80 with GoodRx or SingleCare coupons. Brand Nuvigil runs $300–$625 without insurance.
Medfinder Findability Score
65
/100
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Post Author

Peter Daggett

Last Updated

February 15, 2026

Armodafinil 2026 Availability, Prices, and Tips to Find

What Is Armodafinil?

Armodafinil (brand name Nuvigil) is a wakefulness-promoting medication used to treat excessive sleepiness caused by narcolepsy, obstructive sleep apnea (OSA), and shift work sleep disorder (SWSD). It is the R-enantiomer of Modafinil (Provigil), meaning it contains only the more pharmacologically active half of the Modafinil molecule.

Armodafinil is taken once daily — in the morning for narcolepsy and OSA, or about one hour before your shift for shift work disorder. It can be taken with or without food. Unlike traditional stimulants like Adderall or Ritalin, Armodafinil has a lower risk of abuse and dependence, which is why it is classified as Schedule IV rather than Schedule II.

How Does Armodafinil Work?

Armodafinil works primarily by blocking the dopamine transporter (DAT), which increases the amount of dopamine available in the brain. This boost in dopamine promotes wakefulness and alertness without the intense stimulation or crash associated with traditional stimulants.

Because Armodafinil is the R-enantiomer of Modafinil, it reaches higher plasma concentrations later in the day compared to racemic Modafinil, which may provide a longer-lasting wakefulness effect for some patients. The full mechanism is not completely understood, but it is believed to also affect orexin, histamine, and norepinephrine pathways in the brain.

What Doses Are Available for Armodafinil?

  • 50 mg tablets — sometimes used for lower starting doses or dose titration
  • 150 mg tablets — the most commonly prescribed dose for OSA and narcolepsy
  • 200 mg tablets — available but less commonly used
  • 250 mg tablets — the higher end of the dosing range, sometimes prescribed for narcolepsy or shift work disorder

All strengths are available as generic tablets from multiple manufacturers. The typical dose range is 150 mg to 250 mg taken once daily.

How Hard Is It to Find Armodafinil in Stock?

Armodafinil scores a 65 out of 100 on our findability scale, meaning it has intermittent availability issues. While not on any formal FDA shortage list, patients regularly report difficulty finding specific doses or generic manufacturers at their local pharmacies. As a Schedule IV controlled substance, Armodafinil is subject to DEA manufacturing quotas, which can create supply fluctuations — especially following the broader stimulant supply disruptions that began in 2023–2024.

If your pharmacy is out of stock, try using Medfinder to search nearby pharmacies that currently have Armodafinil available. You may also want to ask your pharmacist about ordering from a different generic manufacturer or checking back in a few days.

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Who Can Prescribe Armodafinil?

Armodafinil can be prescribed by any licensed physician or authorized prescriber, but it is most commonly prescribed by:

  • Sleep medicine specialists — the primary prescribers for narcolepsy and OSA
  • Neurologists — for narcolepsy and MS-related fatigue
  • Psychiatrists — for off-label use in depression-related fatigue or ADHD
  • Pulmonologists — for OSA-related excessive sleepiness
  • Primary care physicians and internists — can prescribe for any approved indication

Telehealth prescribing is available for Armodafinil in many states, making it easier to get a prescription without an in-person visit.

Is Armodafinil a Controlled Substance?

Yes. Armodafinil is classified as a Schedule IV controlled substance by the DEA. This means it has a recognized medical use but carries some potential for abuse and dependence — though significantly less than Schedule II stimulants like Amphetamine (Adderall) or Methylphenidate (Ritalin).

Because it is Schedule IV, prescriptions may have refill limits, and pharmacies are subject to DEA manufacturing quotas. These quotas can occasionally contribute to supply fluctuations, especially when overall demand for wakefulness-promoting agents increases.

Common Side Effects of Armodafinil

  • Headache — the most frequently reported side effect
  • Nausea
  • Dizziness
  • Insomnia — especially if taken too late in the day
  • Dry mouth
  • Diarrhea
  • Anxiety
  • Upper respiratory tract infection

Serious side effects are rare but include severe skin rashes (Stevens-Johnson Syndrome), angioedema, multi-organ hypersensitivity reactions (DRESS syndrome), and psychiatric symptoms such as hallucinations or suicidal ideation. Discontinue Armodafinil immediately and contact your doctor if you develop any rash.

Alternative Medications to Armodafinil

If you can't find Armodafinil in stock or it isn't working for you, your doctor may consider these alternatives:

  • Modafinil (Provigil) — the racemic mixture of both enantiomers; very similar efficacy but slightly shorter duration of action
  • Solriamfetol (Sunosi) — a newer dopamine/norepinephrine reuptake inhibitor approved for excessive daytime sleepiness in OSA and narcolepsy
  • Methylphenidate (Ritalin, Concerta) — a Schedule II stimulant used for narcolepsy and ADHD; more potent but higher abuse potential
  • Amphetamine Salts (Adderall) — a Schedule II stimulant for narcolepsy and ADHD; stronger wakefulness effect but greater side effect and abuse risk

Talk to your prescriber about which option is best for your situation. You can also use Medfinder to check availability of these alternatives near you.

Drug Interactions with Armodafinil

Armodafinil affects several liver enzymes (CYP3A4 and CYP2C19), which means it can interact with a number of other medications:

  • Hormonal contraceptives (pills, patches, rings, implants) — Armodafinil may reduce their effectiveness. Use alternative or additional birth control.
  • Cyclosporine — Armodafinil induces CYP3A4, which can lower Cyclosporine blood levels
  • Warfarin — monitor INR closely as Armodafinil may alter Warfarin metabolism
  • Midazolam and Triazolam — reduced levels due to CYP3A4 induction
  • Phenytoin — CYP2C19 inhibition may increase Phenytoin levels
  • Omeprazole and other CYP2C19 substrates — may have increased exposure
  • Carbamazepine — mutual CYP3A4 induction may reduce Armodafinil effectiveness

Always tell your doctor and pharmacist about all medications, supplements, and over-the-counter products you are taking.

Final Thoughts on Armodafinil

Armodafinil is a well-established, effective wakefulness-promoting medication with a favorable safety profile compared to traditional stimulants. While it's not on any formal FDA shortage list, some patients do experience difficulty finding it in stock due to DEA quota fluctuations and varying generic manufacturer availability.

If you're struggling to find Armodafinil at your pharmacy, Medfinder can help you locate pharmacies near you that have it in stock — saving you the hassle of calling around. For savings, look into discount coupons through GoodRx or SingleCare, which can bring the generic price down to as low as $30 for a 30-day supply.

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