I do not know anything about its not being generic anymore. I hadn't heard that. I know that MaineCare (Medicaid) will only cover the brand name, but that is not uncommon as they will get better rebates with the brand name drug over the generic at times. Just as with Focalin XR. I was still under the impression that for self-pay and private insurance the pharmacist had to change Concerta to the generic. Very well could be wrong.
The problem with drugs like Azstarys is given my Medicaid population is around 65% and statistically more Medicaid patients are on ADHD meds (in my practice anyway) it is not covered by MaineCare without an impossible PA. Why do you like it? I am certainly looking at it.
This is what I tell my patients considering Strattera. It is an incredible medication. You do not have the sleep issues. You do not have the appetite issues. You can give it in the morning or night. I tell them the only problem with it is it doesn't work. It may work on 10% of my patients, but I never start there. I do use it to help overlap the morning or because it tends to last longer if given in the morning.
I did have one -- and one only -- who was losing stature and I had to take him off his stimulant medication.
I tend to go with Concerta, Metadate CD (generic only), Vyvanse. I will use Focalin XR since it is covered by MaineCare but I have a lot of problems with lability issues around two to three weeks much like I get some aggression with Adderall XR after the same amount of time. But, when that side effect doesn't occur, they both work relatively well, except for the greater diversion with IR Adderall.
