Xelstrym Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Xelstrym medication with our help.Get Started Now
Secure: Your personal and medical information is safe with us
Convenient: Your medication is delivered straight to your door
Ongoing refills: Your medication is refilled automatically
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
An introduction to NiceRx(01:52)
Next steps after qualifying(00:38)
Uploading documents and billing(00:50)
SSN & billing information(00:33)
Medication delivery time(00:41)
How it works
Get started by filling out the online enrollment application to find out if you are eligible.
NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified. The pharmaceutical company provides your medication for free and you only pay our service fee.
You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.
Your application is created and sent to your doctor for signature. At this stage, you will be billed $49 and will not be billed again until you receive your first medication delivery.
Your application is sent to the pharmaceutical company. You will be billed again once you receive your medication. We handle the entire ordering process including requesting ongoing refills.
Your monthly Xelstrym cost savings if eligible
If you are eligible for the Xelstrym patient assistance program you can receive your medication for free. Our monthly service fee of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Xelstrym through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Xelstrym patient assistance program?
You could receive your Xelstrym without paying the full retail price if you meet the eligibility criteria for assistance. The eligibility requirements are set by the pharmaceutical companies that are providing assistance programs. At NiceRx, we review each application individually, although the main factors considered by most programs are:
- I am a permanent, legal resident of the United States or Puerto Rico
- I am uninsured or my insurance doesn’t cover my medication
- I meet certain income eligibility requirements
How do I apply for Xelstrym patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Xelstrym.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Xelstrym patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Xelstrym medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Xelstrym coupon provider?
At NiceRx, we help eligible individuals access the Xelstrym patient assistance program. This means that we are not a Xelstrym coupon, a Xelstrym discount card, or a Xelstrym copay card provider. We do not offer any medication trial offers or free Xelstrym samples.
Can NiceRx help me get Xelstrym cheaper if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Xelstrym medication, or if you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much does Xelstrym cost without insurance?
Xelstrym costs without insurance will vary depending on how much you buy and the retailer you buy it from. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
How much does Xelstrym cost with insurance?
The copay of Xelstrym will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
What is Xelstrym?
Xelstrym is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Noven Pharmaceuticals, Inc. Xelstrym is used for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in adults and pediatric patients 6 years of age and older. CNS stimulants, including Xelstrym, and methylphenidate, have a high potential for abuse and dependence.
What doses of Xelstrym are available?
Xelstrym is available as a transdermal system, in the following doses: 4.5 mg/9 hours, 9 mg/9 hours, 13.5 mg/9 hours, or 18 mg/9 hours.
Apply one transdermal patch 2 hours before an effect is needed and remove it within 9 hours. Apply to the hip, upper arm, chest, upper back, or flank. Change the application site when applying a new transdermal system.
Avoid exposing the application site to direct external heat sources, such as hair dryers, heating pads or electric blankets, saunas, hot tubs, and heated water beds. Heat can cause too much medicine to pass into your body causing serious side effects.
Please read the full prescribing information and always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.
Xelstrym active ingredients
Xelstrym contains dextroamphetamine, a CNS stimulant (central nervous system), as the active ingredient.
Xelstrym side effects
The most common side effects of Xelstrym in clinical trials compared to placebo include:
- Decreased appetite
- Trouble sleeping
- Muscle twitching (tic)
- Abdominal pain, vomiting, nausea
- Increased blood pressure
- Increased heart rate increased
- In adults treated with lisdexamfetamine were decreased appetite, trouble sleeping, dry mouth, diarrhea, nausea, and anxiety
In rare instances, Xelstrym can cause more serious side effects. These can include:
- Serious cardiovascular reactions – sudden death, stroke, and myocardial infarction
- Psychiatric adverse reactions – psychotic or manic symptoms
- Suppression of growth
- Peripheral vasculopathy, including Raynaud’s phenomenon
- Contact sensitization
- Application site reactions – local skin reactions may occur
- Symptoms of serotonin syndrome when used in combination with other drugs such as monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), triptans, tricyclic antidepressants, fentanyl, tryptophan, buspirone, and St. John’s Wort
Your caregiver will assess the benefits of using Xelstrym against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Xelstrym to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Xelstrym drug interactions
Xelstrym can interact with other medications. These include:
- Acidifying and alkalinizing agents
This list is not exhaustive and other prescription drugs may interact with Xelstrym.
You should not use Xelstrym if you:
- Are allergic to the active ingredient dextroamphetamine or to any other amphetamine products
- Are allergic to any of the other ingredients in Xelstrym such as acrylic adhesives, green ink, or polyester/polyurethane backing
- Are taking monoamine oxidase inhibitors (MAOI), or have taken an MAOI within the last 14 days
- Are pregnant or are planning to become pregnant – females exposed to ADHD medications during pregnancy should be monitored
- Are breastfeeding or are planning to breastfeed – large dosages of amphetamine may affect milk production, especially if your lactation is not well established
Talk to your doctor before using Xelstrym if you:
- Are taking any of the medications that could interact with Xelstrym
- Have heart problems, heart defects, or high blood pressure
- Have mental health problems
- Have circulation problems in fingers and toes
- Have kidney problems
Xelstrym is the trademark brand name for dextroamphetamine manufactured by Noven Pharmaceuticals, Inc. A generic version of dextroamphetamine is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Xelstrym savings through NiceRx.
*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking the different programs and filling out all the required paperwork for each program. Subject to medication availability.
Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.
**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (“Refund”).
To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.
The content on this website is intended for information purposes only. It does not constitute medical advice. The information on this website should not be relied upon and is not a substitute for professional medical advice. You should always speak to your doctor regarding the risks and benefits of any treatment.