Qelbree coupons can help patients save money on ADHD medication, which can be costly without insurance coverage or other discounts. Qelbree copay cards and patient assistance programs may also be available for this medication. Cheaper generic alternatives may also be a more affordable option for treating ADHD symptoms. Some pharmacies might offer Qelbree savings cards or other discounts, while patient support programs may provide financial assistance for eligible individuals, helping reduce out-of-pocket expenses.
What Is Qelbree?
Qelbree is a medication used to treat attention-deficit hyperactivity disorder (ADHD) in patients aged 6 years and older. It falls into the class of drugs known as non-stimulant selective norepinephrine reuptake inhibitors (NRIs). Unlike stimulant medications commonly prescribed for ADHD, Qelbree works by affecting norepinephrine levels in the brain, helping to regulate attention and behavior.1
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FDA approval signifies that the U.S. Food and Drug Administration has reviewed the medication’s safety and effectiveness based on clinical trials, determining it to be a safe and beneficial treatment option. Qelbree gained FDA approval in April 2021 for the management of ADHD in pediatric patients. This approval acknowledges its efficacy and safety profile in helping to address symptoms associated with ADHD in children and adolescents.1
Is There a Generic of Qelbree?
At this time, there is no generic version of Qelbree available on the market. However, when a generic becomes accessible, it could significantly lower the cost. Generics typically offer equivalent efficacy at a reduced price, allowing individuals to access more affordable alternatives to the brand-name medication. Once a generic form of Qelbree is introduced, it may provide substantial cost savings for those seeking ADHD treatment.
How Much Does Qelbree Cost Without Insurance?
Without insurance coverage or assistance, you can expect your monthly supply of Qelbree, typically prescribed in 30-day increments, to cost around $350.2 The cost of Qelbree can vary based on factors like pharmacy location, dosage, and whether you use mail-order pharmacies.
Before getting a prescription, it’s common to wonder about potential discounts, alternative medications, or if there are financial support options available to alleviate the substantial out-of-pocket expenses associated with Qelbree. Supernus Pharmaceuticals does provide a savings card, and if individuals qualify may be able to get the medication for as low as $20.3 Do not cut, crush, or chew this capsules.
Here is retail Qelbree cost information for each available strength:2
Quantity | Cost per tablet | Price |
100 mg capsule | $11.73 | $351.94 |
150 mg capsule | $11.73 | $351.94 |
200 mg capsule | $11.73 | $351.94 |
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.
It’s important to check your insurance policy’s coverage details to understand the extent of financial assistance available for Qelbree, as coverage for this medication can vary among different insurance providers and plans.
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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, ensuring clarity regarding how much of the Qelbree cost your insurance plan will cover. This proactive step helps you navigate the complexities of insurance coverage and make informed decisions about your prescription expenses.
Medicare
Medicare coverage for Qelbree can vary based on the specific plan and its formulary. Typically, Part D of Medicare covers prescription medications like Qelbree. Beneficiaries may encounter differing copays or coinsurance amounts depending on the plan they’ve selected.
To determine Qelbree’s coverage, it’s recommended to review the Medicare Part D formulary or contact the plan directly for details on coverage, cost-sharing, and any potential requirements, such as prior authorization. Qelbree is not covered in most prescription medicare prescription drug plans.4
Medicaid
For individuals covered under Medicaid, Qelbree’s coverage can vary by state due to differing formularies and regulations. It’s recommended to 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 can will provide answers about whether Qelbree is included, any associated co-pays, and if prior authorization or other requirements are necessary for obtaining this medication through Medicaid coverage. For example, Qelbree is listed as a preferred medication on the Kansas Medicaid Formulary.5
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 copay.6
Qelbree Coupons & Discount Cards
The manufacturer of Qelbree, Supernus Pharmaceutical, offers a Qelbree savings card through their website. Savings cards function similarly to a coupons in that they can typically reduce the cost of a medication but often only for a limited number of uses.
The Qelbree coupon can be downloaded through its own website after filling out select criteria to see if an individual is eligible.3 Once acquired, these cards can then be presented to most pharmacies in order to receive the medication at a discounted rate.
Qelbree Patient Assistance Program
The Qelbree Patient Assistance Program offers support to eligible individuals who might face financial barriers in accessing the medication. This program assists by reducing or eliminating out-of-pocket costs for Qelbree. To join, individuals can typically apply through the program’s website or by contacting the program directly.
Qualification often involves meeting specific income criteria, and applicants may need to provide documentation to verify their financial status. Participation in patient assistance programs is generally compatible with insurance coverage, helping individuals with high deductibles or co-pays. The amount of savings can vary based on individual circumstances, potentially covering the entire cost or a significant portion of Qelbree’s expenses.7
Patient Access Network Foundation (PAN)
The Patient Access Network (PAN) Foundation provides copay assistance to individuals who require help covering the costs of medications like Qelbree. PAN typically works by offering financial assistance to eligible patients and assisting with copayments, deductibles, and other out-of-pocket expenses related to Qelbree. Eligibility for PAN assistance involves meeting specific criteria, including income thresholds and diagnosis requirements.8
Here are the eligibility criteria for the Patient Access Network Foundation (PAN):8
- You’re getting treatment for the disease named in the disease fund.
- Your prescribed medication must be listed as a covered medication for your disease fund.
- You have health insurance that covers your qualifying medication or product. Note: health insurance requirements vary by fund.
- Your income must fall at or below the federal poverty level specified by the disease fund.
- You must reside and receive treatment in the United States or U.S. territories. Note: U.S. citizenship is not required.
Other Ways to Find Qelbree Coupons & Discount Cards
Given the specific nature of Qelbree and its brand-only availability, it is not a commonly used medication in the ADHD patient population. Also, Qelbree has one savings program. While additional coupons or savings programs may not be available, it is also possible to request samples from a provider under certain circumstances to briefly try the medication.
How to Get a Qelbree Prescription
Getting a prescription for Qelbree typically involves consulting an authorized healthcare provider, such as a psychiatrist or a pediatrician experienced in treating ADHD. These professionals evaluate the patient’s symptoms, medical history, and potential treatment options before prescribing Qelbree.
Telehealth services with licensed providers are another accessible avenue to obtain a prescription, allowing individuals to consult with healthcare professionals remotely. To find a psychiatrist or specialist who can prescribe Qelbree, resources like online directories, healthcare provider databases, or referrals from primary care physicians can be valuable. Additionally, contacting local medical centers or mental health clinics might lead to finding professionals well-versed in ADHD treatment and capable of prescribing.
In My Experience
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