Shared Care is an arrangement between Private Healthcare provider and the NHS. Shared care is when patient makes a decision to pay for his or her treatment, but his or her prescriptions are being done by NHS GP. We – ADHD Direct - are “sharing care” over our patients with these patients’ GPs by looking after patients during Medication Review appointments, and co-working with GPs. Every time our consultants meet with a patient, a letter is being sent to patient’s GP summarising patient’s treatment and recommending specific ADHD medication. Based on this recommendation, GP writes prescription. Shared care allows patients, who for various reasons decide to join Private Healthcare to look after their finance in a cost-effective way.  
We always advise patients to contact their GP to see if they would be happy to prescribe ADHD medication should it be required. The decision to prescribe via the NHS is up to the individual GP.  Although it does not happen often, some GPs refuse to prescribe ADHD medication based on our recommendation. We have also worked with GPs who agree to prescribe and provide patient with the NHS prescription only when patient’s treatment is stable and no side effects are being reported. In case when GP refuses to engage in shared care, we can offer private prescriptions and there is a group of patients who receive private prescriptions from our service regularly. Private prescriptions involve additional costs of medication and private prescriptions themselves. 

Costs of private prescriptions and medication 

Private prescription fee is not the only cost that patients need to cover when GPs refuse to engage in shared care. Please see below for estimated costs of ADHD medication. We are providing estimated costs only, as different pharmacies will add individual provision/mark up. 

NOTE: all private prescriptions are valid for 28 days only. This means that after 28 days from the date written on the prescription has passed, the prescription will no longer be accepted by the pharmacy. 

Xaggitin XL 18mg Tablets (Ethypharm UK Ltd)  

Methylphenidate hydrochloride 18mg  

• 30 tablets [PoM] [CD2]  
• NHS indicative price = £15.58  

  Xaggitin XL 27mg Tablets (Ethypharm UK Ltd)  

Methylphenidate hydrochloride 27mg  

• 30 tablets [PoM] [CD2]  
• NHS indicative price = £18.40   

  Xaggitin XL 36mg Tablets (Ethypharm UK Ltd)  

Methylphenidate hydrochloride 36mg  

• 30 tablets [PoM] [CD2]  
• NHS indicative price = £21.22  
• Drug Tariff (Part VIIIA Category C) price = £42.45  

  Xaggitin XL 54mg Tablets (Ethypharm UK Ltd)  

Methylphenidate hydrochloride 54mg  

• 30 tablets [PoM] [CD2]  
• NHS indicative price = £36.80  

  Mediniket XL 5mg capsules (Flynn Pharma Ltd)   

Methylphenidate hydrochloride 5mg  

• 30 capsules [PoM] [cd2]  
• NHS indicative price = £24.04  

  Mediniket XL 10mg capsules (Flynn Pharma Ltd)  

Methylphenidate hydrochloride 10mg  

• 30 capsules  
• NHS indicative price = £24.04   

  Mediniket XL 20mg capsules (Flynn Pharma Ltd)  

Methylphenidate hydrochloride 20mg 

• 30 capsules  
• NHS indicative price = £28.86   

  Mediniket XL 30mg capsules (Flynn Pharma Ltd)  

Methylphenidate hydrochloride 30mg  

• 30 capsules  
• NHS indicative price = £33.66   

  Mediniket XL 40mg capsules (Flynn Pharma Ltd)  

Methylphenidate hydrochloride 40mg  

• 30 capsules [PoM] [CD2]  
• NHS indicative price = £57.72  

 Mediniket XL 50mg capsules (Flynn Pharma Ltd)  

 Methylphenidate hydrochloride 50mg  

• 30 capsules [PoM] [CD2]  
• NHS indicative price = £62.52  

  Mediniket XL 60mg capsules (Flynn Pharma Ltd)  

Methylphenidate hydrochloride 60mg  

• 30 capsules [PoM] [CD2]  
• NHS indicative price = £67.32  

  EquasymXL 10mg Capsules (Shire Pharmaceuticals Ltd)  

Methylphenidate hydrochloride 10mg  

• 30 capsules [PoM] [CD2]  
• NHS indicative price = £25.00  

  Equasym XL 20mg Capsules (Shire Pharmaceuticals Ltd)  

Methylphenidate hydrochloride 20mg  

• 30 capsules [PoM] [CD2]  
• NHS indicative price = £30.00  

  Equasym XL 30mg Capsules (Shire Pharmaceuticals Ltd)  

Methylphenidate hydrochloride 30mg  

• 30 capsules [PoM] [CD2]  
• NHS indicative price = £35.00  

  Elvanse 20mg capsules (Shire Pharmaceuticals Ltd)   

Lisdexamfetamine dimesylate 30mg  

• 28 capsules [PoM] [CD2]  

• NNS indicative price = £54.62  

  Elvanse 30mg capsules (Shire Pharmaceuticals Ltd)   

Lisdexamfetamine dimesylate 30mg  

• 28 capsules [PoM] [CD2]  

• NNS indicative price = £58.24  

  Elvanse 40mg capsules (Shire Pharmaceuticals Ltd)  

Lisdexamfetamine dimesylate 40mg  

• 28 capsules [PoM] [CD2]  

• NHS indicative price = £62.82  

  Elvanse 50mg capsules (Shire Pharmaceuticals Ltd)  

Lisdexamfetamine dimesylate 50mg  

• 28 capsules [PoM] [CD2]  

• NHS indicative price = £68.60  

  Elvanse 60mg capsules (Shire Pharmaceuticals Ltd)  

Lisdexamfetamine dimesylate 60mg  

• 28 capsules [PoM] [CD2]  

• NHS indicative price = £75.18  

  Elvanse 70mg capsules (Shire Pharmaceuticals Ltd)  

Lisdexamfetamine dimesylate 70mg  

• 28 capsules [PoM] [CD2]  

• NHS indicative price = £83.16  

  Guanfacine (Intuniv®)  1mg tab  

• 28 Capsules   

• NHS indicative price = £56.00  

Guanfacine (Intuniv®)  2mg tab  

• 28 Capsules   
• NHS indicative price = £58.52  

Guanfacine (Intuniv®)  3mg tab  

• 28 Capsules   
• NHS indicative price = £65.52  

Guanfacine (Intuniv®)  4mg tab  

• 28 Capsules   
• NHS indicative price = £76.16