Vyvanse (lisdexamfetamine) coverage has improved significantly since generic lisdexamfetamine became available in 2023. Most insurance plans now cover the generic version on lower tiers with affordable copays. Vyvanse is approved for both ADHD and binge eating disorder, though coverage for BED may require additional prior authorization documentation.

Key Facts

Generic lisdexamfetamine has been available since August 2023, significantly reducing costs
Generic is typically on Tier 1 or 2 with copays of $10 to $30 per month
Brand Vyvanse may still be available but is usually on a higher tier or requires prior authorization
Vyvanse/generic is approved for ADHD (ages 6+) and binge eating disorder (adults)
Prior authorization is common for adult ADHD and binge eating disorder indications
Without insurance, generic lisdexamfetamine costs approximately $50 to $150; brand Vyvanse is $350+

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Frequently Asked Questions

Is generic Vyvanse available?

Yes. Generic lisdexamfetamine dimesylate has been available since August 2023 from multiple manufacturers. Most pharmacies now stock the generic, and most insurance plans prefer it over brand Vyvanse. If your pharmacy dispenses brand Vyvanse, ask if they have the generic in stock, as it will be significantly cheaper.

Does insurance cover Vyvanse for binge eating disorder?

Many plans cover Vyvanse (or generic) for binge eating disorder (BED), but prior authorization is typically required. Your doctor will need to document the BED diagnosis, severity, and any failed behavioral interventions. Coverage may be more restrictive than for ADHD.

Can I get a 90-day supply of Vyvanse?

It depends on your state and plan. Some states restrict stimulant prescriptions to 30-day supplies due to controlled substance regulations. Other states allow 90-day supplies. Mail-order pharmacies may offer 90-day supplies where permitted. Check with your insurer and state pharmacy board.

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