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Modafinil now covered by insurance

by James_Miller
26th Sep 2012
1 min read
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Personal Blog

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Modafinil now covered by insurance
16evand
10James_Miller
5gwern
4James_Miller
0knb
1David Althaus
2knb
0David Althaus
0thomblake
4Nick_Tarleton
2Protagoras
2NoSignalNoNoise
2James_Miller
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[-]evand13y160

No link, no mention of what Modafinil is or why I should care, not even a name of the insurance company? You haven't even assigned a likelihood to your prediction, which leaves it unworthy of Predictionbook, never mind a LW post.

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[-]James_Miller13y100

Wikipedia link added, you should care if you had been considering using the drug but if you have then my post has immediate actionable value, I would rather not disclose the name of my insurance company, >50% for elite schools.

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[-]gwern13y50

Indeed. Modafinil is already a somewhat popular study drug, so there may be no major increase from any price drop - not that I know how one would quantify uptake since college surveys tend to be one-offs...

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[-]James_Miller13y40

There is a huge black market in Adderall at my college but, to the best of my knowledge, none in Modafinil.

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[-]knb13y00

Probably because Adrafinil is still unscheduled and essentially the same thing, nobody really is that worried about paying a premium for modafinil. I've been buying adrafinil for a little over 2 dollars per dose. Modafinil is better for everyday use (more liver stress with adrafinil) especially if you can get a scrip, but "study aids" are normally not taken every day anyway.

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[-]David Althaus13y10

I think you mixed up Adrafinil and Adderall.

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[-]knb13y20

Lol no. Adrafinil is a prodrug of modafinil, currently unscheduled in the US. Adderall is extremely scheduled. ;)

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[-]David Althaus13y00

Yeah, I know that. Anyway, I misread your whole comment. My bad.

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[-]thomblake13y00

Adderall is extremely scheduled.

Yeah, I'm not sure how someone could make that mistake, but then I'm used to seeing my prescription bag waiting for me with a big "IN THE SAFE" label on it.

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[-]Nick_Tarleton13y40

This is more expensive than some existing online sources, per gwern's writeup; it does avoid concerns about purity (reasonable) and legal risk (seemingly groundless).

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[-]Protagoras13y20

Interesting. Due to ADHD, I've been prescribed modafinil, and I've been prescribed various amphetamines (including adderall). My own experience is that the modafinil seemed to stop working after a while; it definitely did not seem as helpful as the amphetamines. Of course I'm just one case, and there are any number of reasons my own self-observations could be unreliable, but the drug industry does have a history of frequently making unfounded claims about the superiority of more profitable new drugs over less profitable old drugs, so I'm always fairly skeptical of newish drugs anyway.

[additional note: I just checked gwern's writeup, and discovered that tolerance is apparently a known issue with modafinil; it's not just me.]

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[-]NoSignalNoNoise13y20

Which insurer?

And only if you are diagnosed with narcolepsy, or will they cover it off-label?

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[-]James_Miller13y20

You just need a prescription.

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Modafinil is now being covered by at least one insurance company in Massachusetts under which it costs less than $1 for a 200 MG pill.  I predict a huge college black-market trade in the drug.