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Adderall XR Patient Assistance Program

Summary

Shire Pharmaceuticals is a UK-based bio-pharmaceutical company founded in 1986 to meet several medical needs that had gone unmet. Shire Pharmaceuticals employees some of the most talented in the industry as they are one of the largest pharmaceutical companies world wide. They have created a division labeled Specialty Pharmaceuticals which focuses on treatment of Attention Deficit Hyperactivity Disorder, along with their Human Genetic Therapies division which focuses on treatment of single mutation genetic diseases such as Hunter syndrome and Fabry disease. Adderall XR is comprised of mixed salts of a single entity amphetamine product, that was launched by Shire Pharmaceuticals in 2001. Adderall XR has been approved by the FDA to treat ADHD in both adults and children. Adderall XR is taken in capsule form.

Eligibility

Adderall XR Patient Assistance Program, a patient assistance program provided by Shire Pharmaceuticals, offers Adderall XR at no cost for one year to those who are eligible for the program. Eligibility is based off of the following requirements:

  • You must be a citizen of the United States or its Territories.
  • You must not be eligible for or covered by any private, public, or Medicare Part D prescription coverage programs.
  • Your income must be less than or equal to 200% of the Federal Poverty Guideline for the size of your household (see chart below).

  • Eligible patients will receive a pharmacy card that may be used once a month


    SOURCE: 2008 HHS Poverty Guidelines
    Persons in Family or Household 48 Contigous States and D.C. Alaska hawaii
    1 $10,400 $13,000 $11,960
    2 $14,000 $17,500 $16,100
    3 $17,600 $22,000 $20,240
    4 $21,200 $26,500 $24,380
    5 $24,800 $31,000 $28,520
    6 $28,400 $35,500 $32,660
    7 $32,000 $40,000 $36,800
    8 $35,600 $44,500 $40,940
    For each addtional person, add $3,600 $4,500 $4,140

    What’s Next?

    Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Shire Pharmaceuticals program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.

    Other Tips

  • If you have any questions please call the Shire Pharmaceuticals program directly
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
  • Do not write messy on your forms as this will delay any response
  • Call and write thank you notes to Shire Pharmaceuticals program. Without their help millions of people will be without medication.



  • PAP Links:
    Create Account to View

    Company Website:
    Create Account to View

    Company Phone: Create Account to View
    Company Fax: Create Account to View
    Company Address:
    Create Account to View

    List of Medications:
    Adderall XR Capsules 5mg, 10mg, 15mg, 20mg, 25mg, 30mg (amphetamine/dextroamphetamine)

    Forms and other information are Copyright © Adderall XR Patient Assistance Program