Vyvanse® Savings Card: Pay as Little as $30 per Prescription & Copay Look Up

Tell us about yourself

Fill out the following fields to receive your savings card.

I'm an adult with ADHD

I care for a child (6+) with ADHD

I'm an adult with moderate to severe Binge Eating Disorder

First Name

Last Name (optional)

Email Address

Confirm Email Address

Mobile Phone Number

Have you filled a Vyvanse (lisdexamfetamine dimesylate) prescription in the last 6 months?

Yes

I certify that I have read and agree to the terms and conditions listed below.

By agreeing to these terms and conditions of the Vyvanse Savings Offer, you agree to receive email communications and text messages on your mobile device subject to the Terms & Conditions described below.

This Program is intended solely for US residents and is governed solely by US laws and government regulations
Participants will receive an average of 5 text messages each month while enrolled in the Program
There is no fee payable to Takeda to receive text messages; however, your carrier’s message and data rates may apply
Data obtained from you in connection with your registration for, and use of, this SMS service may include your phone number and/or email address, related carrier information, and elements of pharmacy claim information and will be used to administer this Program and to provide Program benefits such as information about your prescription, refill reminders, as well as Program updates and alerts
Takeda will not be liable for any delays in the receipt of any SMS messages as delivery is subject to effective transmission from your network operator
This Program is valid with most major US carriers, including: Verizon Wireless, Sprint, Nextel, Boost, T-Mobile, AT&T, Alltel, ACS Wireless, Bluegrass Cellular, Carolina West Wireless, CellCom, Cellular One of East Central Illinois (ECIT), Cincinnati Bell, Cricket, CSpire Wireless, Duet IP (AKA Max/Benton/Albany), Element Mobile, Epic Touch, GCI Communications, Golden State, Hawkeye (Chat Mobility), Hawkeye (NW Missouri Cellular), Illinois Valley Cellular (IVC), Inland Cellular, iWireless, Keystone Wireless (Immix/PC Management), MetroPCS, MobiPCS, Mosaic, MTPCS/Cellular One (Cellone Nation), Nex-Tech Wireless, nTelos, Panhandle Telecommunications, Pioneer, Plateau, Revol Wireless, Rina-Custer, Rina-All West, Rina-Cambridge Telecom Coop, Rina-Eagle Valley Comm, Rina-Farmers Mutual Telephone Co, Rina-Nucla Nutria Telephone Co, Rina-Silver Star, Rina-South Central Comm, Rina-Syringa, Rina-UBET, Rina-Manti, Simmetry, South Canaan/CellularOne of NEPA, Thumb Cellular, Union Wireless, United Wireless, U.S. Cellular, Viaero Wireless, Virgin Mobile, West Central Wireless (includes Five Star Wireless). (Names of listed service provider/carriers are trademarks or registered trademarks of their respective companies and owners)
For T-Mobile customers, T-Mobile is NOT liable for delayed or undelivered messages
Takeda may be required to contact the user if an adverse event is reported
Takeda reserves the right to rescind, revoke, or amend the Program without notice at any time
The information communicated through this Program is not intended to make a diagnosis or to take the place of talking to a US healthcare professional
While Takeda makes reasonable efforts to include and transmit accurate, up-to-date information for this Program, Takeda makes no warranties or representations as to its accuracy. Takeda assumes no liability for any errors or omissions in the content transmitted through this Program
In addition to the data use practices described in the Privacy Notice, we may send you offer-related push notifications. Your device’s location will not be known or tracked by Takeda or its service providers. Nonetheless, you may opt out of receiving these notifications at any time by (1) disabling notifications (i.e., automatic updates) within the digital wallet app, or (2) removing the eCard from your digital wallet by selecting “Remove Pass” within the digital wallet app
You can unsubscribe from the Program by texting STOP to 36395. For questions about this Program, text HELP to 36395 or contact the customer support center at 1-866-441-3469

Terms & Conditions

Eligible patients will pay a minimum of $30 and receive up to a maximum of $60 off their co-pay or out-of-pocket expense on each prescription. Patient is responsible for the first $30 and any prescription costs in excess of $90. This offer can be used for up to 30 capsules or 30 chewable tablets of Vyvanse (lisdexamfetamine dimesylate). Offer is valid for up to 60 uses through offer expiry. A valid Prescriber ID# is required on each prescription.
Patient Instructions: In order to redeem this offer, you must have a valid prescription for Vyvanse. Follow the dosage instructions given by the prescribing doctor. This offer may not be redeemed for cash. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions set forth in the “Restrictions” section below. Patients with questions about this offer should call 1-866-441-3469.
Pharmacist: When you apply this offer, you are certifying that you are not submitting the claim for this prescription for reimbursement under any federal, state, or other governmental programs. Participation in this offer must comply with all applicable laws and regulations as a pharmacy provider. By participating in this offer, you are certifying that you will comply with the terms and conditions set forth in the “Restrictions” section below.
Pharmacist instructions for a patient paying with an Eligible Third Party Payer: Submit the claim to the primary Third Party Payer first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB [coordination of benefits] with patient responsibility amount and a valid Other Coverage Code, (e.g. 8). The patient is responsible for the first $30 and the offer pays up to the next $60. Reimbursement will be received from CHANGE HEALTHCARE.
Pharmacist instructions for a cash paying patient: Submit this claim to CHANGE HEALTHCARE. A valid Other Coverage Code (e.g. 1) is required. The patient is responsible for the first $30 and the card pays up to the next $60. Reimbursement will be received from CHANGE HEALTHCARE.
Valid Other Coverage Code required.
For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893.
Restrictions: This offer is valid in the United States. Offer not valid for prescriptions covered by or submitted for reimbursement under Medicaid, a Medicare drug benefit plan, Tricare, or other federal or state health programs (including any state medical assistance program). Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. If the patient is eligible for prescription drug benefits under any such program, the patient cannot use this offer. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payer of the existence and/or value of this offer. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is not transferable and is limited to one offer per person. Offer expires 12/31/2024.
This offer is not valid if reproduced. Void where prohibited by law. Offer program managed by ConnectiveRx on behalf of Shire US Inc., a Takeda company, or its successor. The parties reserve the right to rescind, revoke, or amend this offer without notice at any time.

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IMPORTANT SAFETY INFORMATION

Vyvanse is a federally controlled substance (CII) because it can be abused or lead to dependence. Keep Vyvanse in a safe place to prevent misuse and abuse. Selling or giving away Vyvanse may harm others and is against the law.

Vyvanse is a stimulant medicine. Tell the doctor if you or your child have ever abused or been dependent on alcohol, prescription medicines, or street drugs.

Who should not take Vyvanse?
Do not take Vyvanse if you or your child are:

taking or have taken an anti-depression medicine called a monoamine oxidase inhibitor (MAOI) within the past 14 days.
sensitive or allergic to, or had a reaction to other stimulant medicines.

Serious problems can occur while taking Vyvanse. Tell the doctor:

if you or your child have heart problems, heart defects, high blood pressure, or a family history of these problems. Sudden death has occurred in people with heart problems or defects taking stimulant medicines. Sudden death, stroke and heart attack have happened in adults taking stimulant medicines. Your doctor should check you or your child carefully for heart problems before starting Vyvanse. Since increases in blood pressure and heart rate may occur, the doctor should regularly check these during treatment. Call the doctor right away if you or your child have any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Vyvanse.
if you or your child have mental (psychiatric) problems, or a family history of suicide, bipolar illness, or depression. New or worse behavior and thought problems or new or worse bipolar illness may occur. New psychotic symptoms (such as seeing or hearing things that are not real, believing things that are not true, being suspicious) or new manic symptoms may occur. Call the doctor right away if there are any new or worsening mental symptoms or problems during treatment.
if you or your child have circulation problems in fingers and toes (peripheral vasculopathy, including Raynaud’s phenomenon). Fingers or toes may feel numb, cool, painful, sensitive to temperature and/or change color from pale, to blue, to red. Call the doctor right away if any signs of unexplained wounds appear on fingers or toes while taking Vyvanse.
if your child is having slowing of growth (height or weight). The doctor should check your child’s height and weight often while on Vyvanse, and may stop treatment if a problem is found.
if you or your child have symptoms of serotonin syndrome: agitation, hallucinations, coma, or changes in mental status; problems controlling movements or muscle twitching, stiffness, or tightness; fast heartbeat; sweating or fever; nausea, vomiting or diarrhea. Call your doctor or go to the emergency room if symptoms occur. Serotonin syndrome may occur if Vyvanse is taken with certain medicines and may be life-threatening.
if you or your child are pregnant or plan to become pregnant. It is not known if Vyvanse may harm your unborn baby.
if you or your child are breastfeeding or plan to breastfeed. Do not breastfeed while taking Vyvanse. Talk to your doctor about the best way to feed your baby if you take Vyvanse.

What are possible side effects of Vyvanse?
The most common side effects of Vyvanse in ADHD include:

anxiety
decreased appetite
diarrhea
dizziness

dry mouth
irritability
loss of appetite
nausea

trouble sleeping
upper stomach pain
vomiting
weight loss

The most common side effects of Vyvanse in adults with moderate to severe B.E.D. include:

dry mouth
trouble sleeping
decreased appetite
increased heart rate

constipation
feeling jittery
anxiety

What is Vyvanse?
Vyvanse is a prescription medicine used for the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in patients 6 years and above, and for the treatment of moderate to severe Binge Eating Disorder (B.E.D.) in adults. Vyvanse is not for weight loss. It is not known if Vyvanse is safe and effective for the treatment of obesity.

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.

Takeda is committed to helping ensure the proper use of stimulant medication. Please see the Proper Use of Prescription Stimulant Medication for additional information.

VYVANSE and the VYVANSE logo are registered trademarks of Takeda Pharmaceuticals U.S.A., Inc. TAKEDA and the TAKEDA logo are registered trademarks of Takeda Pharmaceutical Company Limited. ©2020 Takeda Pharmaceuticals U.S.A. Inc. All rights reserved. 1-800-828-2088.

All content of this website, including text, images, graphics, sound files, and their arrangement, is copyrighted and owned by Takeda Pharmaceutical Company Limited and is protected by international copyright laws. All other intellectual property rights are reserved. The content may not be copied for commercial use or distribution, nor may these objects be downloaded, modified, or posted to other sites. This site is intended solely for US residents and is governed solely by US laws and government regulations. Please see our Terms of Use for more information. While Takeda makes reasonable efforts to include accurate, up-to-date information on this site, Takeda makes no warranties or representations as to its accuracy. Takeda assumes no liability for any errors or omissions in the content of this site. The information on this site is not intended to make a diagnosis or to take the place of talking to a US healthcare professional.

US-LIS-0128v1.0 01/21

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IMPORTANT SAFETY INFORMATION

Vyvanse is a stimulant medicine. Tell the doctor if you or your child have ever abused or been dependent on alcohol, prescription medicines, or street drugs.

Who should not take Vyvanse?
Do not take Vyvanse if you or your child are:

taking or have taken an anti-depression medicine called a monoamine oxidase inhibitor (MAOI) within the past 14 days.
sensitive or allergic to, or had a reaction to other stimulant medicines.

Serious problems can occur while taking Vyvanse. Tell the doctor:

if you or your child have heart problems, heart defects, high blood pressure, or a family history of these problems. Sudden death has occurred in people with heart problems or defects taking stimulant medicines. Sudden death, stroke and heart attack have happened in adults taking stimulant medicines. Your doctor should check you or your child carefully for heart problems before starting Vyvanse. Since increases in blood pressure and heart rate may occur, the doctor should regularly check these during treatment. Call the doctor right away if you or your child have any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Vyvanse.
if you or your child have mental (psychiatric) problems, or a family history of suicide, bipolar illness, or depression. New or worse behavior and thought problems or new or worse bipolar illness may occur. New psychotic symptoms (such as seeing or hearing things that are not real, believing things that are not true, being suspicious) or new manic symptoms may occur. Call the doctor right away if there are any new or worsening mental symptoms or problems during treatment.
if you or your child have circulation problems in fingers and toes (peripheral vasculopathy, including Raynaud’s phenomenon). Fingers or toes may feel numb, cool, painful, sensitive to temperature and/or change color from pale, to blue, to red. Call the doctor right away if any signs of unexplained wounds appear on fingers or toes while taking Vyvanse.
if your child is having slowing of growth (height or weight). The doctor should check your child’s height and weight often while on Vyvanse, and may stop treatment if a problem is found.
if you or your child have symptoms of serotonin syndrome: agitation, hallucinations, coma, or changes in mental status; problems controlling movements or muscle twitching, stiffness, or tightness; fast heartbeat; sweating or fever; nausea, vomiting or diarrhea. Call your doctor or go to the emergency room if symptoms occur. Serotonin syndrome may occur if Vyvanse is taken with certain medicines and may be life-threatening.
if you or your child are pregnant or plan to become pregnant. It is not known if Vyvanse may harm your unborn baby.
if you or your child are breastfeeding or plan to breastfeed. Do not breastfeed while taking Vyvanse. Talk to your doctor about the best way to feed your baby if you take Vyvanse.

What are possible side effects of Vyvanse?
The most common side effects of Vyvanse in ADHD include:

anxiety
decreased appetite
diarrhea
dizziness

dry mouth
irritability
loss of appetite
nausea

trouble sleeping
upper stomach pain
vomiting
weight loss

The most common side effects of Vyvanse in adults with moderate to severe B.E.D. include:

dry mouth
trouble sleeping
decreased appetite
increased heart rate

constipation
feeling jittery
anxiety

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.

Takeda is committed to helping ensure the proper use of stimulant medication. Please see the Proper Use of Prescription Stimulant Medication for additional information.

anxiety	loss of appetite
decreased appetite	nausea
diarrhea	trouble sleeping
dizziness	upper stomach pain
dry mouth	vomiting
irritability	weight loss

dry mouth	constipation
trouble sleeping	feeling jittery
decreased appetite	anxiety
increased heart rate

Tell us about yourself

Have you filled a Vyvanse (lisdexamfetamine dimesylate) prescription in the last 6 months?

Terms & Conditions

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MEDICATION GUIDE

VYVANSE® [Vi'- vans]

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VYVANSE^® [Vi'- vans]