Concerta Coupons, Prices, & Savings Tips

How Much Does Concerta Cost Without Insurance?

The price of Concerta can vary based on several factors, including the dosage, amount prescribed, and pharmacy you use. Using the generic form of Concerta with other discounts can save money as well.

How Much Does Concerta Cost With Health Insurance?

The cost of Concerta with health insurance can vary significantly based on your coverage. Many insurance plans include coverage for Concerta, but the out-of-pocket expenses differ depending on your specific plan, including copayments and deductibles. Contact your insurance company to learn the details of your coverage and better understand the potential costs of Concerta.

Commercial Insurance

The coverage of concerta by commercial insurance will vary based on the company and specific insurance plan. Some companies may cover all or part of the cost of the medication, while others may not cover Concerta at all. Contact your insurance company directly to determine what your policy will cover.

Medicare

Medicare may provide coverage for brand-name Concerta, but this is dependent on your specific plan.¹ Most Medicare plans will cover the generic version of this medication.

Medicaid

Concerta is listed on the Medicaid list of covered drugs as preferred for most states. This means the medication is covered, and providers are encouraged to prescribe Concerta over others.

TRICARE

Tricare covers both Concerta and generic versions.² Check your TRICARE pharmacy benefits to monitor for any changes in coverage.

Concerta Coupons & Discount Cards

Using Concerta discount cards and coupons is another effective way to lower its price. These cards and coupons work similarly to other discounts when used at participating pharmacies. Concerta coupons and discount cards can be found at your local pharmacy and online platforms, such as GoodRx and SingleCare. Janssen, the manufacturer of Concerta, also provides individuals with savings cards on their website.³

Concerta Cost Savings Programs

Concerta Savings Programs are available for eligible individuals, offering financial aid and reducing out-of-pocket costs. Eligibility for these programs may vary, often based on your income. These programs typically require individuals to have some form of insurance coverage.

SimpleFill

A patient assistance program for Concerta is available on the SimpleFill website. The service offered by this organization helps people qualify and maintain enrollment for savings programs covering medications such as Concerta. Patients who are underinsured or not insured can apply for the program on their website.⁴

NeedyMeds

NeedyMeds is a nonprofit organization providing information about savings for prescription medications, including Concerta. You can use a search tool on their website to find information about specific medications. At this time, NeedyMeds does not offer a savings program for Concerta. Patients are encouraged to check back because the information is updated regularly.⁵

The Rx Advocates

The Rx Advocates is a service that helps people applying for savings programs for prescription medications, including Concerta. These savings programs are only offered for brand name medications since generic medications are typically much less expensive. Patients who qualify can use Concerta coupons and savings programs available on the website.⁶

Concerta Savings Card

A Concerta savings card can be found on their company website.⁴ This program can lower out-of-pocket costs for eligible individuals to as low as $4. The full list of requirements and rules for this program are listed on the same page as the card. Once you check the box on the page that you are eligible, you can download the coupon immediately.

Here are the eligibility criteria for the Concerta savings card:³

• For individuals aged 6 to 65
• Individuals must have commercial or private health insurance
• Payment claims can not be from third-party payers, pharmaceutical patient assistance foundations, or flexible/health savings accounts.

Other Ways to Find Concerta Coupons & Discount Cards

Other options to explore for cost savings include coupons and discount cards. Talk with your pharmacy or healthcare provider to determine your options.

Pharmacy Discounts & Savings Cards

Some pharmacies may offer other ways to save on out-of-pocket costs, even if you don’t have an insurance policy. Contact your local pharmacy and your provider to learn what your options are.

Online Resources & Apps

Several websites and apps can help you discover coupons and discounts for Concerta. These online resources allow you to compare costs of generic vs brand-name medications, find cost-saving options, and view prices based on pharmacy and location. Examples of online platforms with Concerta coupons include GoodRx, Optum Perks, and RxSaver.

HSA Accounts

A health savings account (HSA) is a feature of high-deductible health insurance plans. With an HSA, you can set aside money from your paycheck before it is taxed to cover certain health expenses. The money you contribute to this account is not subject to federal taxes, leaving the full amount available for use. If you have a high-deductible insurance plan, contact your insurance company to understand how this may work with your Concerta prescription.⁷

Ask Your Prescriber for Samples

Your prescriber may have Concerta medication samples available, which would provide you with short-term supply of the medication. Requesting a sample gives you a chance to try the medication for a short time before filling a prescription.

Ask About Getting a 90-day Supply

If your provider decides to offer you a Concerta prescription, a 90-day supply can be less costly than monthly refills. This approach also reduces the number of refills needed per year. Mail-order pharmacies typically offer 90-day supplies, which reduces the costs of shipping packaging materials for the pharmacy and patient.

Fill Your Prescription by Mail-order

Using a mail-order pharmacy is another option for getting your medication at a reduced cost. Your provider will call in the prescription directly, then your medication will be delivered after a week or two. Mail-order prescriptions work well for medications with no temperature sensitivities and those used for treating chronic conditions.⁸

How to Get a Concerta Prescription

To get Concerta prescription, begin by getting a psychiatric evaluation for your ADHD symptoms. For an in-person evaluation, start with your primary provider, who may be physician, nurse practitioner, or physician assistant. They will know your health history and current needs, and may be able to decide if Concerta is a suitable treatment for you. Or they may refer you to a psychiatrist or ADHD specialist instead.

To get an online evaluation, start by finding an online psychiatric platform that can and will prescribe controlled substances. This process can be a challenge due to the limitations placed on stimulant medications. We have used and thoroughly reviewed two such platforms, ADHD Online and Circle Medical, and found them to be helpful starting points for an ADHD evaluation.