Children with UNTREATED ADHD are at higher risk for substance abuse and low self esteem. Usually they self medicate later on and have lower self esteem in class, because they are constantly in trouble. If a child is having trouble, and nothing is working. Treatment with medication AND therapy may help. Here are some ins and outs of filling ADHD meds at the pharmacy.
Stimulants are used to help the child FOCUS. They will not help the hyperactivity. These medications include…
- Amphetamines (Adderall)
- lisdexamfetamine (Vyvanse)
- Methylphenidate (Ritalin, Concerta)
- Atomoxetine (Strattera)- less effective, but not a controlled substance. Can be a great option, but Im not going to cover it in this post.
Good things to know about filling perscriptions for these… The first 3 are controlled substances. They are as controlled in the pharmacy as oxycontin (they DO NOT do the same thing as oxy and are nothing like it, they are just under lock and key in the same way). THis means that you will need a HARD COPY perscription each time you want to refill this medication. If the doctor messes up the written perscription that you bring to the pharamcy, the doctor CANNOT call or fax the right perscription. In this case you will have to get a whole new HARD COPY from the doctor.
Most pharmacies will not fill a refill more than 2-3 days before the medication supply runs out. For example, if you get a 30 day supply, you will not be able to fill the next script untill at least 28 days have passed. (the amount of days you can fill early depends on the pharmacy) This mean you have to be on a schedule… call the doctor for a new script about 5 days before it is due, go pick it up, bring to the pharamacy, and then pick it up when it is due.
Some pharmacies do NOT always have the medication you will need in stock. This is why it is good to bring in the HARD COPY script early. Even if it cannot be filled you (the 2 day rule), it will give the pharmacist time to order the medication.
Some insurances prefer one drug over the others. The first 3 are have all about the same efficacy. Go with the one your insurance pays for. The differences aren’t big enough to spend more money than you have too. Call the number on your insurance card to figure out what meds they cover for ADHD BEFORE you get to the doctors office. You can give this info to your doctor, so the he or she can prescribe the covered medication for less hassle.
Most insurances will need the doctor to call in a prior authorization (PRIOR AUTH) for many of these meds. This means that the insurance makes the doctor jump through hoops to help you get this med covered. The perscribing doctor will have to CALL the insurance company and tell them what other meds have been tried, why they didn’t work, or why this med is necessary for the patient. This is common, and if this is needed, it is good for BOTH the pharamacy and the patient to contact the doctor to get this done. Usually the patient needs to keep calling the doctor to make sure it is done, because some doctors drag their heels.
Hope this saves you some trouble.
@Take The Reins: