this post was submitted on 08 Mar 2026
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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

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[–] irotsoma@piefed.blahaj.zone 2 points 5 days ago (1 children)

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.world 1 points 5 days ago* (last edited 5 days ago) (1 children)

Wat dose/day u on (also it it 1 cap or 2/day to arrive at that total dose/day?)

[–] irotsoma@piefed.blahaj.zone 2 points 5 days ago (1 children)

I take 1 per day, 25mg extended release.

[–] cheese_greater@lemmy.world 1 points 5 days ago* (last edited 5 days ago) (1 children)

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

[–] irotsoma@piefed.blahaj.zone 2 points 5 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.