Average Monthly Cost of Vyvanse 20 mg Daily in Canada
The specific pricing for Vyvanse (lisdexamfetamine) 20 mg daily in Canada is not available in the current evidence base, and you should contact the manufacturer (Takeda/Shire) directly or check with Canadian provincial drug formularies for accurate current pricing. 1
Key Pricing Considerations
Why Direct Pricing Data is Limited
- The evidence provided focuses primarily on U.S. pricing through Medicare AWP (Average Wholesale Price) and NADAC (National Average Drug Acquisition Cost) systems, which do not apply to the Canadian market 2
- Canadian pharmaceutical pricing operates under different regulatory frameworks with provincial drug benefit programs that negotiate prices independently 3
- Generic versus brand-name price differentials vary significantly between the U.S. and Canada, with no consistent pattern—some medications are cheaper in Canada while others are more expensive 4
Practical Steps to Obtain Canadian Pricing
Contact the manufacturer directly: Takeda/Shire offers patient assistance programs and can provide current wholesale pricing specific to Canada 1
Check provincial drug formularies: Each Canadian province maintains its own drug benefit list with negotiated prices that may differ substantially:
- Ontario Drug Benefit List provides government-negotiated prices 3
- Provincial formularies determine coverage and out-of-pocket costs 1
Consult your pharmacy benefit manager: Insurance coverage significantly impacts final out-of-pocket costs, including tier placement and copay requirements 1
Important Context About Cross-Border Price Comparisons
- Brand-name medications purchased from Canadian sources have historically shown mean savings of approximately 24% compared to U.S. retail prices, though this varies considerably by medication 5
- However, government-negotiated prices in Canada may show smaller differentials than retail price comparisons suggest 3
- Generic medication pricing shows no consistent advantage in either country, with 63% of generics actually cheaper in the U.S. in one analysis 4
Dosing Information for Cost Calculation
- The standard starting dose is 20-30 mg once daily, with weekly titration by 10 mg increments 1
- Maximum approved daily dose is 70 mg 1
- For a 20 mg daily dose, you would need a 30-day supply of 20 mg capsules (30 capsules total)
The most reliable approach is to contact Takeda/Shire Canada directly and check your specific provincial drug benefit program for accurate current pricing, as published pricing data for Canadian markets is not available in the medical literature. 1, 3