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What mixed amphetamine salts cost if you have no insurance

The short answerMedicare's spending data show its drug plans paid an average of about $29 for each fill of generic immediate-release mixed amphetamine salts in 2024. In the week of October 21, 2026, pharmacies paid about $14 to $17 for 60 generic tablets. The brand-name tablet cost them about $12 each, and every fill needs a new prescription because this is a controlled medicine.

What mixed amphetamine salts are used for

According to MedlinePlus, which the National Library of Medicine runs, this medicine is part of a treatment program for ADHD. ADHD is short for attention deficit hyperactivity disorder, a condition that makes it harder to focus and sit still. MedlinePlus also says the tablets treat narcolepsy in adults and in children 12 and older. Narcolepsy is a sleep disorder that causes sudden attacks of sleep.

The medicine is a mix of two stimulants, dextroamphetamine and amphetamine. Federal rules put amphetamine on Schedule II, which is the group of controlled medicines that have a high chance of misuse. Only a licensed prescriber can write the prescription.

What pharmacies pay for the generic

The federal government asks pharmacies every week what they pay for each drug. That survey is called NADAC, and the Centers for Medicare and Medicaid Services runs it. It shows the pharmacy's cost for the medicine before the store adds a fee for filling the prescription, so it is not a counter price. The figures below are from the week of October 21, 2026.

  • Generic immediate-release tablets in the 10 mg strength cost pharmacies about $0.23 each.
  • The 20 mg and 30 mg tablets cost about $0.29 each.
  • Generic extended-release capsules, which release the medicine slowly over the day, cost about $0.47 to $0.62 each depending on strength.

As an example, 60 tablets of the 10 mg strength come to about $14 at the survey price. Sixty tablets of the 20 mg strength come to about $17. Your prescriber picks the strength and the number of tablets, and we multiply only to show the size of the bill.

Filling the prescription costs the pharmacy money too. In a 2022 survey of 2,198 Ohio pharmacies, the state's Medicaid department found that dispensing one prescription typically costs about $9.46. The counter total is therefore higher than the store cost for the tablets alone.

What Medicare drug plans paid for real fills in 2024

Medicare reports what its drug plans spent on each drug. Those totals include the pharmacy's fee for filling the prescription, which brings them closer to a real counter price than the survey is. They are not a cash price for you, and they were measured before any rebates the maker may pay.

For 2024, the data show an average of about 51 cents per generic immediate-release tablet. That works out to about $29 for each fill. Generic extended-release capsules averaged about $1.44 each, or about $54 for each fill. The brand-name immediate-release tablet averaged about $10.43 each, or about $663 for each fill.

Brand name versus generic

The brand-name immediate-release tablet cost pharmacies about $12.20 each in the survey, and the brand-name extended-release capsule cost about $6.80 each. The generic version of the same tablet costs a small fraction of that. When several companies sell the same medicine, the competition usually brings the price down.

Whether a generic or a brand is right for you is a decision for you and your prescriber. A pharmacist can tell you which version a prescription lets them fill.

Every fill needs a new prescription

Federal rules say a prescription for a Schedule II medicine cannot be refilled. That means the pharmacy cannot simply top up your bottle each month. A new prescription is needed each time, which can mean contact with your prescriber every month.

For people without insurance, that makes the cost of visits as important as the cost of the pills. Ask the clinic for its price before you book, and ask whether it prescribes ADHD medicines at all. Our guide on telehealth without insurance explains video visit prices. The Drug Enforcement Administration, or DEA, announced on December 31, 2025 that registered doctors may prescribe these medicines by video visit through December 31, 2026. Rules can change, so ask your prescriber what applies now.

Other ADHD stimulants

Methylphenidate and lisdexamfetamine are other medicines used for ADHD. Our pages on methylphenidate and lisdexamfetamine show what each one costs. Which medicine fits you is a choice for you and your prescriber.

Ways to lower the bill

Ask the pharmacist for the cash price of each strength and each form. A tablet and a capsule can cost very different amounts, and one pharmacy may charge much more than the next. Our guides on asking for the cash price and prescriptions without insurance show what to say.

Community health centers adjust their fees by income and family size. According to the Health Resources and Services Administration, many have on-site pharmacies with discounted drugs. Because each fill needs a new prescription, visits are a real cost, and direct primary care may cover them for a flat monthly fee, usually $50 to $200. You can search for a cash-pay doctor and ask whether the doctor prescribes controlled medicines.

A pharmacy may not have your strength in stock. The DEA says shortages can come from manufacturing problems, delays and supply chain disruptions, and it works with the FDA to limit them. Ask the pharmacist when the medicine will arrive, and ask your prescriber about sending the prescription to another pharmacy.

Safety, and where to get help

MedlinePlus says this medicine can be habit-forming, which means a person can come to need it. It says to take it exactly as prescribed and not to stop it without talking to your doctor. It also says never to sell it or give it away. The medicine can cause serious heart problems, heart attack or stroke in some people. Please do not skip doses or stretch your supply to save money. Tell your prescriber that cost is the problem.

MedlinePlus says to get emergency help right away for chest pain, shortness of breath or fainting. If you have thoughts of harming yourself, call or text 988, the Suicide and Crisis Lifeline, at any hour. If you are worried about misuse of a medicine or another substance, you can call the SAMHSA National Helpline at 1-800-662-4357. It is free and open every day, around the clock.

If you think you are having an emergency, call 911 or go to the nearest emergency room. This page gives only general information and is not medical advice for your own situation.

Common questions

How much is generic mixed amphetamine salts without insurance?

Medicare's 2024 spending data show an average of about $29 for each fill of generic immediate-release tablets. Pharmacies paid about 23 to 29 cents per tablet in the week of October 21, 2026. Your price at the counter is higher than the pharmacy's cost and differs by store, so call a few for their cash prices.

How much more does the brand-name tablet cost?

In the week of October 21, 2026, the brand-name immediate-release tablet cost pharmacies about $12.20 each. The generic 10 mg tablet cost about $0.23 each. Ask your pharmacist what a prescription allows them to fill.

Can I get a refill without a new prescription?

No, federal rules do not allow a Schedule II medicine such as this one to be refilled, so you need a new prescription each time. Ask your prescriber how they handle this and what each contact costs.

Can I get this prescribed by a video visit?

The DEA announced that doctors with a DEA registration may prescribe Schedule II to V medicines by video visit through December 31, 2026. The prescriber decides whether a video visit fits your case, so ask the clinic about its price first.

Where can I get help if I am worried about misusing a medicine?

The SAMHSA National Helpline at 1-800-662-4357 is free, confidential and open 24 hours a day, every day. It can point you to treatment and support near you. If you are in crisis or thinking about harming yourself, call or text 988.

Adderall is a trademark of its owner. The FindMyDirectDoctor Foundation is not connected to or endorsed by the trademark owner, and we name the brand only so readers can find information about the product.

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This guide is general information, not medical, legal or tax advice. If you have a medical emergency, call 911.