AZSTARYS® is available at your local pharmacy — see savings offer for eligible patients
For commercially insured patients only
Patients with insurance not covering AZSTARYS will pay as little as $60 per prescription.
*Restrictions apply. See Terms and Conditions.
All fields are required unless otherwise noted. You must be 18 years or older to complete this form. If you are less than 18 years, a caregiver may complete this form on your behalf.
Is the patient covered by private or commercial insurance (not government-funded insurance)?
Is the patient 6 years of age or older?
Bring the card with you to the pharmacy to see if you're eligible for savings on your AZSTARYS prescription.
If you or your pharmacist have any questions about the copay card, call Corium at 1-347-624-5889.
Some insurance plans require additional information from your doctor before
they will cover AZSTARYS. Be sure to check that the doctor or pharmacist submits all
required information to your insurance company as soon as possible so that approval
for your prescription isn't delayed. Corium does not currently have a patient
assistance program or any other financial assistance programs beyond the copay savings offer.
Call 1-347-624-5889 to
speak with
someone from
Corium.
You can also ask your healthcare provider for a Starter Kit.
ADHD, Attention Deficit Hyperactivity Disorder.
Abuse, misuse, and addiction. AZSTARYS has a high chance for abuse and misuse and may lead to substance use problems, including addiction. Misuse and abuse of AZSTARYS, other methylphenidate containing medicines, and amphetamine containing medicines, can lead to overdose and death. The risk of overdose and death is increased with higher doses of AZSTARYS or when it is used in ways that are not approved, such as snorting or injection.
AZSTARYS is a federally controlled substance (CII) because it contains dexmethylphenidate that can be a target for people who abuse prescription medicines or street drugs.
Do not take AZSTARYS if you or your child are:
Before taking AZSTARYS, tell your HCP about all medical conditions including if you or your child are pregnant or plan to become pregnant, because it is not known if AZSTARYS will harm the unborn baby, or are breastfeeding or plan to breastfeed, as AZSTARYS passes into breast milk.
Tell your HCP about all the medicines you or your child take, especially if you or your child take blood pressure medicines (anti-hypertensive). Do not start any new medicine during treatment with AZSTARYS without talking to your HCP first.
The most common side effects of AZSTARYS include:
These are not all the possible side effects of AZSTARYS. Call your HCP for medical advice about side effects.
AZSTARYS is a central nervous system (CNS) stimulant prescription medicine for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in people 6 years of age and older. AZSTARYS may help increase attention and decrease impulsiveness and hyperactivity in people 6 years of age and older with ADHD.
It is not known if AZSTARYS is safe and effective in children younger than 6 years of age.
For additional safety information, click here for Prescribing Information and Medication Guide and discuss with your doctor.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch,
or call 1-800-FDA-1088.
AZSTARYS is a central nervous system (CNS) stimulant
prescription medicine for the treatment of Attention
Deficit Hyperactivity Disorder (ADHD) in people 6 years
of age and older. AZSTARYS may help increase
attention and decrease impulsiveness and hyperactivity
in people 6 years of age and older with ADHD.
Abuse, misuse, and addiction. AZSTARYS has a high chance for abuse and misuse and may lead to substance use problems, including addiction. Misuse and abuse of AZSTARYS, other... methylphenidate containing medicines, and amphetamine containing medicines, can lead to overdose and death. The risk of overdose and death is increased with higher doses of AZSTARYS or when it is used in ways that are not approved, such as snorting or injection.
AZSTARYS® is available at your local pharmacy.
For additional safety information, click here for Prescribing Information and Medication Guide and discuss with your doctor.
Abuse, misuse, and addiction. AZSTARYS has a high chance for abuse and misuse and may lead to substance use problems, including addiction. Misuse and abuse of AZSTARYS, other methylphenidate containing medicines, and amphetamine containing medicines, can lead to overdose and death. The risk of overdose and death is increased with higher doses of AZSTARYS or when it is used in ways that are not approved, such as snorting or injection.
What is AZSTARYS?
AZSTARYS is a central nervous system (CNS) stimulant prescription medicine for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in people 6 years of age and older. AZSTARYS may help increase attention and decrease impulsiveness and hyperactivity in people 6 years of age and older with ADHD.