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Thread: is there a generic modafinil in the US? how hard is it to get a off label prescription?

  1. #1

    Default is there a generic modafinil in the US? how hard is it to get a off label prescription?

    I want to try and ask my doctor for modafinil (actually might be switching docs and would be a good time to see if I can get something else). I know it was a problem in the past getting insurance to cover the crazy price of the name brand, but I believe a generic has been out for awhile now. Does this help with having insurance cover it? Will Obamacare cover it?

    How did you go about suggesting to your psy doc to prescribe modafinil?

    I currently have a Wellbutrin prescription for depression, ADD, anxiety, etc.. and feel it doesn't work so I don't even take it. I asked my doctor for this one instead of straight out asking for Adderall or Modafinil so she wouldn't give me an SSRI atleast. Eventually I was going to say the Wellbutrin wasn't working and if I could have modafinil. The funny thing is she says the meds must be working but I'm not taking them, I take modafinil and some other vitamins and nootropics.

    I'm scared asking for the prescription for the modafinil (or Adderall) though since they are known for recreational use and she would have to write the modafinil for off label use. And I can't say I tried modafinil by ordering it online and feel it works for me either since it's "illegal" and she will wonder how do I know it works. I know I can order it online but if I can get it cheaper from a legit pharmacy without the risk of it getting lost in the mail that is the way to go.
    Last edited by gsg909; 09-17-2016 at 06:08 PM.

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  3. I think most doctors will only write a prescription for modafinil if it is on label, but it doesn't hurt to ask.

    Generic modafinil is available in the US, but prices for it vary drastically from one pharmacy to the next. I asked the price for the 100 mg tablets at a big chain drugstore and it was almost $20 per pill. I asked at a pharmacy in a warehouse store and the price was 90 cents per pill and they had 200 mg tablets for $1.10 per pill.

    I told my doctor that sometimes I don't sleep well and have trouble concentrating at work. I asked him if he thought it would be safe for me to try modafinil. He said yes and wrote a prescription for me. He said I should also see a sleep specialist.

    Modafinil is for patients with narcolepsy or have sleep disorders related to shift work. The insurance required an application from my doctors office. The company asked if I had completed a sleep study. They later denied the application. I don't mind because the price at the warehouse store pharmacy is affordable.

  4. I asked my primary for a modafinil script because my rheumatologist said I could t take caffeine anymore because of bone density, and my opiod script was making me tired.

    He said no problem and gave me a prescription. The pharmacy filled it with the generic,it was covered under insurance. But a couple days after filling it I got a cryptic voice message from express scripts saying something to the effect that it may not be covered anymore the following month. I didn’t pursue it as I wasn’t planning on getting it refilled but the generic version must also cost quite a lot for the insurance company to respond the way they did.

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    Quote Originally Posted by Yossarian3000 View Post
    I asked my primary for a modafinil script because my rheumatologist said I could t take caffeine anymore because of bone density, and my opiod script was making me tired.

    He said no problem and gave me a prescription. The pharmacy filled it with the generic,it was covered under insurance. But a couple days after filling it I got a cryptic voice message from express scripts saying something to the effect that it may not be covered anymore the following month. I didn’t pursue it as I wasn’t planning on getting it refilled but the generic version must also cost quite a lot for the insurance company to respond the way they did.
    Yes, it can be pricey because these generics are made under the rules of a sweetheart deal to manufacture the generic. Even though it is not actually produced by Cephalon, the company gets to sell licenses to generic companies like Ingenus who want to try to make money on the generic market. That way they still get a portion of the profits and thereby diminish the advantage of buying generic Provigil in the first place. When I was taking it I actually got a factory sealed bottle of the generic modafinil filled with pills that said Provigil on them. When I checked on who had actually made it I came up with a company if Florida called Orchid. So, the way things have worked out now with the FDA, an independent company cannot just set up shop and make or sell generic modafinil. They have to pay Cephalon (now a part of Teva) first and that expense gets passed on to you.
    Last edited by Utopiate; 10-05-2018 at 02:19 AM.
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    I discovered Modalert when in India. It costs about $0.11 to 0.15 per tablet. The INR price is listed on the packaging, prices are set and pharmacies are not supposed to sell above that price. I can see that any IOP shipping out of India has plenty of room for markup and reshipping seized packages.
    The real trick with Modalert and its stereoisomer is that less is more. Take supplements that complement it (choline, eggs, ) as well as liver protection.
    for the modafinil and related, break a tablet in half. More IS NOT necessarily better.
    I can't answer about which IOP to use, but redditt (sp) is a place to poke around.
    Helpful Gullible Rated helpful

  7. Just a footnote. One blood test and they know exactly what's in your system. If your doctor is anything like all doctors you will be required to pee in a cup at some point. Keep this in mind. There are ways to clean that pee naturally. PM me if you want more details.

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    Modafinil was not detected on the roughly 135 drug urine panel I have taken many times, while actually on modafinil before and during the test day.
    It was not on the more typical ~25 drug panel labeled as "pain management panel" I took most recently.
    So far, it does not seen to be searched for but I would not bet your freedom on my personal experience.

    Price / exchange rate update, the last shipment of modalert puts the retail price at $0.225 per tablet. That's still plenty for Indian IOP's to be able to ship the real thing and still make a profit. Maybe not as much as 5 years ago. Don't know what others are paying but I'm happy paying $1 a tablet.

    I've been told not to discuss sources from the senior area, and don't have a way to know if my source is in the senior area. I'll keep my mouth shut.
    Last edited by Omega_Human; 12-23-2018 at 11:43 AM.

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    Omega_Human will become famous soon enoughOmega_Human will become famous soon enough

    To answer the original question of "how difficult to have it prescribed off label" - a friend had it prescribed (for ADHD), but could not afford to have it filled. With insurance it cost $20 per tablet (off label). My guess is that was 5 years ago. I don't think he asked, but his Dr (in California) suggested it.
    Last edited by Omega_Human; 12-23-2018 at 11:49 AM.
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  10. I had a long asnwer to this question- oh well- it disappeared. Is it even POSSIBLE to be diagnosed with ADHD when you are 49 yr's old. Bc you read an article 2 yr's ago that happen to describe you perfectly? UI went a shrink and it did not go well.

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    Omega_Human will become famous soon enoughOmega_Human will become famous soon enough

    Yes, it is possible to be diagnosed in your 40's. If your Dr sees you are already on a lot of medications or are tagged as having drug seeking behavior then it will reduce your chances of being prescribed what you want.
    Maybe it is possible to say you were diagnosed when you were in your 20's but decided that you didn't like certain medications but are now finding that it interferes with you ability to work or enjoy a certain quality of life.
    There is always a crook Dr out there who will bill everything out of network and just accept what your insurance company will pay him - which is usually more than if he were honest and working in-network.
    Helpful sweetniko Rated helpful

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    Rlitting is offline Banned Reason: Spamming or Vendor Rep for MedLords
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    I know one from India medlords.com and they ship worldwide. I got one delivered in FL may be it work for you as well. All the best

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    Quote Originally Posted by sweetniko View Post
    I had a long asnwer to this question- oh well- it disappeared. Is it even POSSIBLE to be diagnosed with ADHD when you are 49 yr's old. Bc you read an article 2 yr's ago that happen to describe you perfectly? UI went a shrink and it did not go well.
    Hi @sweetniko

    I am sorry your doctor appointment did not go well. I would say you could certainly be diagnosed with ADD and ADHD in your 40's and beyond. I was starting a challenging fantastic new job and found a good psychiatrist in my area that specializes in the treatment of ADD and ADHD. If you can get a personal referral even better. We discussed the very involved 2 month training period and the need to memorize and quickly understand and retain IT technology. After talking for about 40 minutes the doctor agreed I could benefit from medication to help me concentrate and stayed focused. The low dose of Adderall has helped me move forward and retain new technology with the job. I think you need to find another doctor and be very prepared for the appointment. If you can make a good case that you suffer from ADD or ADHD you should be able to get medication.
    I agree with @Omega_Human that a history of visiting MD's and seeking controlled medication will not help. Everything is now tracked at the State or Federal level. As we know this type of medication is Schedule 2 and tightly controlled. My MD is more comfortable prescribing to older working professionals. There is less chance of abuse or diversion of the medication for profit. Good Luck and Happy New Year!
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