Qelbree Coupons, Cost, & Savings Tips

How Much Does Qelbree Cost Without Insurance?

The cost of Qelbree can vary based on factors like pharmacy location, dosage, and whether you use mail-order pharmacies. There are ways to lower the cost of Qelbree, including coupons, online platforms, and patient assistance programs.

How Much Does Qelbree Cost With Health Insurance?

The cost of Qelbree with health insurance can fluctuate significantly based on your coverage plan. With insurance, your out-of-pocket expenses for Qelbree will be subject to co-pays, deductibles, and whether the medication is included in your plan’s formulary. Some insurance plans might cover a portion of the cost, reducing your expenses considerably, while others may require prior authorization or impose specific restrictions.

Commercial Insurance

For those with commercial insurance, it’s advisable to reach out directly to your insurance provider regarding coverage for Qelbree. Contacting your insurance company allows you to understand the terms, including co-pays, formulary status, and any prior authorization requirements. They can offer insights into coverage limitations and potential cost-saving opportunities, which may affect how much your insurance plan will cover.

Medicare

Qelbree is not covered in most prescription medicare prescription drug plans.¹ To determine whether Qelbree may be covered for you, start by reviewing the Medicare Part D formulary. Contact the plan directly for details on coverage, cost-sharing, and any potential requirements, such as prior authorization.

Medicaid

For individuals covered under Medicaid, Qelbree’s coverage can vary by state due to differing formularies and regulations. Consult your state’s Medicaid plan to understand the specific coverage details for this medication.

Contacting the state Medicaid office or reviewing the formulary online will how you understand whether Qelbree is included, any associated co-pays, and if prior authorization or other requirements are necessary. For example, Qelbree is listed as a preferred medication on the Kansas Medicaid Formulary.²

TRICARE

If you are a TRICARE beneficiary, check with your specific TRICARE plan is essential to determine coverage details for medications. Contacting TRICARE directly or visiting their online resources can provide answers about the medication’s inclusion, associated costs like co-pays, and any prerequisites such as preauthorization.

Veterans Affairs (VA) resources can also provide guidance, especially if you’re navigating TRICARE coverage through the VA. Qelbree is noted as non-formulary and, therefore, subject to a $68 co-pay.³

Qelbree Coupons & Savings Cards

The manufacturer of Qelbree, Supernus Pharmaceutical, offers a Qelbree savings card to help people with insurance coverage that has high co-pay costs. A co-pay savings card functions similarly to a Qelbree manufacturer coupon. Both options can reduce the cost of a medication but often for a limited number of uses.

The Qelbree co-pay card can be downloaded through their website after filling out select criteria to see if an individual is eligible.⁴ It cannot be used with state or federally funded healthcare programs, such as Medicaid or Medicare. Once acquired, these cards can then be presented to most pharmacies in order to receive the medication at a discounted rate.

Qelbree Cost Savings Programs

Qelbree cost savings programs, such as Supernus Support, NeedyMeds, and SimpleFill, can help individuals save money on their prescription. Patients must apply for each program and meet certain criteria to qualify for savings, such as insurance coverage and financial need. Some programs can be used with insurance, so individuals should check both plans for details.

Supernus Support

The Supernus Support program offers financial assistance through federal grants. These funds are available to eligible individuals who have difficulty affording their medication. This program assists by reducing or eliminating out-of-pocket costs for Qelbree.

Prescribers typically take care of eligibility and enrollment when completing the prescription. Qualification often involves meeting specific income criteria, and applicants may need to provide documentation to verify their financial status. The amount of savings can vary based on individual circumstances, potentially covering the entire cost or a significant portion of Qelbree’s expenses. If a patient needs to complete these steps, they can call 1-866-398-0833 and a customer service agent will walk them through the steps.⁵

NeedyMeds

NeedyMeds is a nonprofit organization providing information about savings for prescription medications, including Qelbree. The search tool on their website allows people to search for information about specific medications. NeedyMeds also offers their own savings card to those who qualify. Individuals can apply for the savings card and learn more about the program on their website.⁶

SimpleFill

Simple Fill is a patient assistance program that helps people qualify and maintain enrollment in sources of assistance available for many commonly prescribed medications. Patients who are underinsured or not insured can apply for the program on their website. At this time, Qelbree savings programs are not available on Simple Fill, but patients are encouraged to keep checking as program information is frequently updated.⁷

Other Ways to Find Qelbree Coupons & Discount Cards

Other Qelbree savings options may include pharmacy discounts and coupons from online platforms. While these savings options may not cover the entire cost of Qelbree, they can help make it and other medications more affordable.

Pharmacy Discounts & Savings Cards

Local pharmacies may offer Qelbree savings cards for your prescription. Contact your pharmacy directly to learn about these savings options.

Online Resources and Apps

Online websites and apps can help reduce your out-of-pocket costs. These platforms provide Qelbree coupons and discounts and can also help determine which pharmacy offers the lowest Qelbree price. Examples of these online platforms include GoodRx, Optum Perks, and WellRx.

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. This means 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 learn if you can pay for your Qelbree prescription with this program.⁸

Ask Your Prescriber for Samples

Your prescriber may have a supply of Qelbree medication samples to provide you with short-term supply of the medication. You can request a sample to briefly try out the medication before filling a prescription.

Ask About Getting a 90-day Supply

If Qelbree is a good fit for you, a 90-day supply can be less costly than monthly refills and reduces the number of refills needed. Mail-order pharmacies typically offer 90-day supplies, which reduces the costs of shipping packaging materials.

Fill Your Prescription by Mail-order

Getting your prescription filled by a mail-order pharmacy is another way to get your medication at a lower overall cost. After your provider calls in the prescription, it may take a week or two for your medication to be delivered. Mail-order prescriptions work best for medications with no temperature sensitivities and those used for treating chronic conditions.⁹

How to Get a Qelbree Prescription

The process of getting a Qelbree prescription begins with a psychiatric evaluation. Start with your primary provider, who may be a physician, physician assistant, or nurse practitioner. They may refer you to an ADHD specialist or psychiatrist to determine whether Qelbree will be part of your treatment plan.

To get a Qelbree prescription online, we have thoroughly reviewed psychiatric platforms like ADHD Online, Talkiatry, or Circle Medical. Having used these platforms ourselves, these platforms offer a helpful starting point for getting an online evaluation and, potentially, a prescription for non-stimulant ADHD medication like Qelbree.