I obliquely was referring to how insanely priced Dexedrine Spansules are in America and they countered with (unknowingly) that generics are almost always available for basically every med in America. Which, they’re not outrageously (seemingly) totally out there but I dont think it totally captures how fucked US prices are for even the staples sometimes

      • Rhynoplaz@lemmy.world
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        4 days ago

        Don’t be silly, it’s not like the US has a history of deeming that certain groups of people are inferior to others and forcing them into involuntary labor.

      • Rhynoplaz@lemmy.world
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        5 days ago

        I mentioned it once to my Primary doctor, and he went on a rant about how those are “performance enhancers” and anybody would be able to function better on them and essentially said that he refused to let me cheat life that way.

        My insurance has a stupid high deductable, so I have to pay everything out of pocket, so I’m not bothering with the search and paperwork required to talk to a mental health professional.

        • cheese_greater@lemmy.worldOP
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          4 days ago

          K First of all, there are non-stimulants. A diagnosis is seperate from “gets amphetamines/speed”. Ask him to let you try atomoxetine if he doesnt believe you

          Also, Has to be a psychiatrist usually too eh, dont get pawned off on a psychologist before you investigate if thats a guranteed route to a legally and medically valid Dx, they might be able to help you perform better but often they cant diagnose you with the good kind of diagnosis that gets meds and accoms. Its like an “I’m in love with the boy”/“The Best things in Life are Free”/ Temu “diagnosis” otherwise even tho it could give you valuable coping skills/life skills a psychiatrist can’t focus on

    • cheese_greater@lemmy.worldOP
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      5 days ago

      Fucking sad, the state of ADHD assessments/access. It abs should not be as fucking hard as it is. I was super priviledged in how mine went down in a publicly funded system (even then I wouldnt saybit was a cakewalk for someone way less adept at moving thru the system as I am) but i know tons of people even here struggle to get past even like referralc, let alone assessment+diagnosis+prescribed by GP

      America is god-level/boss-level ADHD land. It seems that system is alwaya fucking set up in a way that lets the elites do or get whatever they want easily and leaves everyone real behind in the dust

  • violetring@lemmy.world
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    5 days ago

    Well let’s start with the price of the required DRs appointment every 3 months. We’re lucky, the Dr only charges $80 w/o insurance.

  • GreatWhiteBuffalo41@slrpnk.net
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    4 days ago

    3 years ago near Chicago, generic Adderall 15mg XR with GoodRx cost me $18. For reference today I have insurance and I’m on 20mg at $15

  • BradleyUffner@lemmy.world
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    5 days ago

    The last time I heard the full uninsured price from my pharmacist was about 7 years ago. It was over $350 for a 30 day supply.

  • Jul (they/she)@piefed.blahaj.zone
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    4 days ago

    The generics are relatively inexpensive compared to name brands, but are usually still significantly more expensive than both name brand and generics in other countries. Also, generics are not always equal, only mostly the same. Insurance generally only covers generics, though, or at least the patient is required to pay much more for name brand, so it’s rare that most people ever even use the name brand to know the differences. There are only a few meds I’ve personally had issues with when drugs have left patent monopoly, and I’ve been forced to switch to generics. Mostly it’s just needing to take time to readjust dosages.

    For Adderall generics, I just recently had to pay cash in order to avoid an interruption since my insurance requires me to use their mail order and the shortages in the US the last several years due to the manufacturer flooding and the government not allowing them to produce more to catch up have made it very difficult to get a reliable supply. I spent about $50 for 90 of the 25mg extended release. With insurance I pay $25 for a 90 day supply. So it is usually worth paying cash once in a while to get some extra for the shortage gaps during each refill.

        • cheese_greater@lemmy.worldOP
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          4 days ago

          Not so bad I guess, thats actually probably cheaper than in my system. Some drugs like generic Ambien are like that even for us. Generic ambien is like $50/a month for 30 tablets, thank god insurance foots the bill for most of that cost.

          Same with Naltrexone, that shit (the generic nonless) is expensive as shit

          • Jul (they/she)@piefed.blahaj.zone
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            4 days ago

            Yeah, overall, that drug is pretty cheap in its generic form. One of the cheapest I take. But it is really just a mix of a couple of amphetamines that have been around for a long time. Adderall was only expensive as a name brand due to the patent monopoly, even on remixed drugs. The generic version may or may not the exact same mix of drugs, but whatever it is, it’s cheap. I never took the name brand, though.

  • flandish@lemmy.world
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    5 days ago

    they got me on methylphenidate. though its starting to be less effective. never tried dextroamphetamine.