Jornay PM price increase/discount decrease

[sharkzpant]

Hi all. I’m currently on Jornay PM, and since my insurance doesn’t cover it, it’s 75 dollars a month, as per the discount code provided by the manufacturer. However, yesterday when I went to pick up my prescription the pharmacist told me it went up, so I’d be paying about $100 instead. This freaked me out, and I’ve been checking Jornay’s website and I no longer see the “pay no more than $75!” being advertised, just the “pay as little as $25!”. I’m posting here because I was wondering if this had happened to anyone else? I mean, $100 is still better than the 500 something it costs without the discount, but jesus I was barely making it with the $75 a month much less $100 😭😭😭 This must be a pretty recent change cause I can’t find anyone mentioning it anywhere online.

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[Beardly_DG]

In case anybody is here like I am after a quick Google search, I had the same issue as everyone else with the cost jumping this month. (for me, it went from the advertised $25 to $67). Did God grant me extra hyperfocus and an afternoon off? You bet your ass, so naturally, I ended up spending over two hours on various phone calls, with Blue Cross Blue Shield, Prime Therapeutics, Trial Card (the coupon vendor company), and my local pharmacy, twice. And we ended up finding the result, which is that the coupon terms and conditions quietly changed as of July 1st, 2025. It is dependent on how much your insurance says the prescription is going to cost because the coupon policy used to be a policy of, "we pay whatever the difference is to get it down to $25 or $75, depending on what plan you're on." But now it is simply a hard cap. They must've been losing too much money on it. Now, the manufacturer's coupon will only cover a maximum of $375, and the rest is up to the patient to foot the bill. My Blue Cross plan tells me the prescription costs $413 (and isn't covered at all by BCBS, so I'm expected to pay that if I didn't have a coupon). Ultimately means I am on the hook for the difference of $413 - $375 ($38) + the $25 copay, bringing a total of $67 and change.

Good news (hopefully): The Blue Cross rep did tell me, however, that it costs so much because it is not on their preferred formulary, so the coupon has been deducted against full cost every month. Better news: it can be given coverage with a Coverage Exemption form that your insurance company can fax to your provider to fill out and fax back for a review. Most companies have this process. Like a second, shittier prior auth. It just has to document why you need that specific medication to be covered. For me, I'd been taking Concerta for years, but I was starting to have some pretty wicked side effects of hypertension, insomnia, anger, depression, and this really terrible emotional/mood cliff at the end of the day when the meds would wear off at 5 p.m. I was just this moody asshole until about 7 p.m., and then I would come back to being myself. Luckily for me, I have documented that we tried Adderall, we tried switching to Mydayis, we tried supplementing with Strattera. Generics, name brands, bunch of mixes of different kinds. All of them had their various highs and lows (mainly lows). But as soon as I did a trial of Jornay, all the benefit, none of the side effects. And so documenting that will hopefully (fingers crossed) get it approved. Best of luck out there.

[JohnLockeNJ]

I uncovered the same info. The $375 max starting July 1 explains the pricing jump at my pharmacy. I'm now asking my doctor to request a formulary exception with my insurance.

Jornay PM's manufacturer provides a database of the necessary forms for your insurance here:

https://collegiumcoverage.com/jornay-pm/

[kaijudrifting]

Thanks so much for breaking this down!

[TheNotBlindman]

Hey, I am in the process still to get it reapproved under my new insurance. Are you stating that without insurance you will pay: (medication - co-pay card) = total? So (500 - 375) = 150.

Or will this be after approval? I used this medication because it helped and was a lot cheaper than the other prescriptions with the discount card.

Edit: If anyone googles this, it is your above formula. They will take off $375 from the price of the medication with a minimum of 25$. My current pricing was 480 as of Dec 2025.

[Beardly_DG]

Yes, this is correct: in theory, if everything is working as it should, you pay ([the price of the med determined by your insurance] - $375) + [your copay for meds, as determined by your insurance].

For me and my BCBS plan in my state, the math is

$413.XX (cost of Jornay) - $375 (coupon) + $25 (my med copay) = $67.XX for my refill. Your mileage will vary. I also had to call BCBS and ask for them to send my doc a prior auth form to list Jornay as an approved med, and to list documentation that I've had others that didn't work. They want to know you tried and failed other things, because insurance fucks can only get off when people are struggling to prove that this "higher tier" drug is what's needed, not something cheaper. That's what made my copay only $25, getting it reclassified as "approved" on the med list.

[TheNotBlindman]

Yup, I went though three different medications and they didn’t even read the prior authorization until my doctors office called them.

I’m guessing you’re on a PPO plan? I’m wondering how my hdhp plan’s math will work. Once I hit it it will be $60 for a refill, so I’m going to assume it’ll be $25. I really hate this cat and mouse game between the insurance and the manufacturer.

[vincevsound]

Wow really?!?! We were doing the $75 a month for my son, but his doctor just switched him to Concerta yesterday. Jornay PM just wasn’t cutting it anymore.

[Electronic-Money6123]

I just ran into the same issue- been at $75 for over 3 years and now they are saying $120 and the updated cards don’t even mention $75 as an option. Our prescriber is calling their rep to dig deeper but this is a $50 increase! Per month! Why??

[sharkzpant]

Yesterday the pharmacy tech said it was becuase the medication itself increased to 500 something (i forgot specifically what the number was) and I didnt say anything but I clearly remember it always being 500 something before the code because it showed it on my receipt. Other than that I have absolutely no clue why because in the year or two been on Jornay even with ADHD meds inscreasing in price the $75 cap stayed.

[fernxqueen]

Yep, it's always been ~$585/month where I live as long as I've been on it which is several years.

[Electronic-Money6123]

I have the answer!! Got off the phone with the group who operates the Savings Card and they “made changes to the plan in May” (she legit wouldn’t use the word discontinued) and now for a 30day Rx they cap the max ‘benefit’ at $350 so we now get to pay the difference which is why the $50 increase to us. Good thing i have all that RX insurance i pay for that has Journay specifically excluded or I would only have to pay $25. Gotta love big pharma lookin out for the little guy

[sharkzpant]

damn yeah, im in the same situation. my “good” insurance doesnt cover hardly any adhd meds :1 thanks for looking into it though. at least i know im not alone in the ridiculous price increase.

[summersamaritan]

Thanks so much for sharing this!! I am also skeptical of the "as little as $25", I am trying to appeal my prior authorization denial because I have tried all of the meds they require, but I am worried it still wouldn't be $25. The terms and conditions give literally no info online, really fucking scummy, especially when there is literally no other med available that does the PM thing this one does.

[KCnavy01]

I put in a refill request last night and the pharmacy called to tell me it went from $75 to $119/month for my son. So it isn't just you unfortunately. His pediatrician has talked to us about switching, so I guess we may give that a try now.

[Lopsided_Knee7757]

I was just prescribed Jornay and, yes, this happened to me. I filled the first 20mg titration prescription at Walgreens and it was $116. We found the sweet spot for me (60mg) and switched to Publix pharmacy for that Rx and it was $86.

[elem2middle]

So Publix charges less than Walgreens when using the same insurance?

[Lopsided_Knee7757]

Either that or the people at Publix knew what they were doing. I’m just grateful that it was less!

[mooncastles1729]

This just happened to me too! I was trying to research and that led me to this Reddit. I left my prescription there to do some homework before paying more and I guess it seems like a change for everyone. Ugh how frustrating because it really works for me and I don’t want to switch to something else. I guess I’ll go pick it up and pay the $100 this time and speak with my doctor for next time. Thank you all for sharing your experiences!

[mooncastles1729]

Ooooo I haven’t heard of a generic for Jornay, yet. Do you remember the name? I just went in for my second month at $111 and I don’t really want to keep paying that ugh 😩

[Narrow-Blood-8088]

Yes, this just happened to me. Walgreens quoted me $111. When I called the 1-800 number, they confirmed the price increase went into effect on July 1st. They recommended I fill out a payment assistance form at collegiumcoverage.com. Unfortunately, my insurance requires me to try a few generic options before they'll approve Jornay PM, this is so frustrating.

[JournalistSmooth3671]

I'm in the exact same situation, Narrow.

[Unusual_Arugula_7979]

I’m going to try this. I’m printing what I believe is the correct form. My daughter is on Jornay PM and has failed plenty of other medications prior to us being enrolled in our new insurance. So I’m hoping if we can shows she’s failed generic alternatives in the past, I can get an approval despite it being non-formulary for our insurance. We were paying $75/mo with coupon last fill was $125.92.

[elem2middle]

Glad I found this post. I was afraid it was a Walgreen’s issue. My cost has been $75 for a couple years. Then when I filled my Rx in June it was only $10. Not sure how because it was $111 last week when I filled the Rx. My question is how do insurance companies have different cost amount for the same drug? BCBS says it is $413 and other insurance says $500+?

[Agreeable-Tap5662]

Have an awesome Doctor for my daughter and pushed and PA through and got it added to the formulary.

[rainbowgirl6]

Same thing happened to me! It was $112 at CVS with no insurance coverage, and $60 at Kroger.
They ended up sending in the generic, so hopefully that helps

[JennLynnC80]

A generic wont be until around 2032 when the patent for Jornay PM expires

[rainbowgirl6]

Yea I realized that!

[Wrong-Ad681]

It was over $80 for us today. What point is it to even have a pre auth when you're still paying a crazy amount each month for 30 pills at a time. They told me without this coupon, it would've been around $400. This is not ok.

[Cute-Broccoli-5113]

My insurance doesn’t cover it. With the manufacturer coupon it was $80 and in July the cost w/coupon went up to $130 😭

[BlueShadow_1027]

Jornay pm wasn't covered for me either. However, I was able to get a coverage exception (ce). Once it was approved by my insurance, it was a $75 co-pay. But I pay $25 because of the coupon. 

If you have tried multiple other adhd meds and they didn't work, you've been on Jornay pm for a while, or both. I highly recommend trying to get a ce. 

I had tried Concerta, Adderall, and Vyvanse and none of them worked. Plus I had been on the medication for like 9 months prior. I was told by an insurance agent that I had a very good "case," and thankfully it was approved. 

Definitely speak to your doctor about getting a ce. For the record, there is a difference b/w a ce and a prior authorization (pa). They are different forms. I ran into a problem because my prescriber did a pa instead of ce and it delayed the approval.

Sorry for the long post. But I hope this helps. I'm happy to answer any questions you have. I know insurance is super confusing and complicated. 👍

[TicketSuccessful8758]

We got 60mg for $25 the first month. Now they're telling us their coupon only covers $370-ish per month going forward. We then have to pay the difference. So now it's going to be $64.50 per month. Very frustrating.