Hi All, I've just been prescribed the generic version of Vyvanse and had a bit of sticker shock when I was rung up at my local pharmacy. Even with insurance it was nearly $300 for a months worth pills. I realize this is a problem likely unique to the United States, but I'm wondering how other folks are navigating the costs. While I can afford the medication, the idea of taking on a car sized monthly payment for the pills is really unpalatable. Do folks have any tricks or tips for getting the medication at a lower rate, switching to different medications (i.e. adderall or ritalin), or finding a secondary to cover prescriptions? I've read about Goodrx or SingleCare may be more affordable. Does anyone have experience with those providers?

As a side note, I oversee selection of our company health plan/insurance. While I'd rather not change for the sake of co-workers who have established their primary care physicians with our current offering, I have the ability to change it for 2026. If there folks have providers who cover more of the costs I'm open to hearing it.

Beyond the costs, does anyone have any advice or guidance for things to watch out for as I start taking the medication? Tomorrow is my first day and I'm a combination of excited and anxious.

Thanks!

The last time I ran off to see a doctor was about 10 years ago when I got a concussion shortly after graduating college. After that, I have visited optometrists and dentists, but not an MD. I had my own insurance at my first big boy job after school, but I didn't schedule any appointments [early 20s with plenty of other priorities] before I got fired after a couple years and lost employer coverage (ain't nobody got money for COBRA nonsense).

After that, I've been rather chronically underemployed and thus avoided the medical system entirely (with the above exceptions of my eyes & teeth) to avoid being told to go fix expensive problems [and not wanting the monthly drain of premiums].

Anyway, I (for better and worse) had an hours cut that got me eligible for Medicaid. I'd like to know what to say to get a head-to-toe physical (including mental health) with minimal hassle and needing to re-clarify what I want. Mental health-wise, I can state a suspected primary complaint: undiagnosed ADD due to lacking the H as a child as well as seasonal depression [the chronic depression was entirely downstream from the abovementioned ADD].

However, I have no idea what to tell the doctor to look for physically. Probably should get some kind of comprehensive blood screening done. Make sure my hormones, iron, etc… are all within normal bounds. Perhaps I have some conditions that should've spooked me into seeing a doctor five years ago, but I'm still alive and well, so they're no longer causes for alarm [even if they should be].