Concerta, Adderall XR and Biphentin are now listed on the formulary in Ontario for those receiving medication through the provincial drug plan. We are awaiting information on Vyvanse and Strattera. 

The therapeutic notes (or requirements) are as follows:
 
Patient has to be 6 years of age, diagnosed with ADHD, according to DSM-IV criteria and where symptoms are not due to other medical conditions which affect concentration, and who require 12-hour continuous coverage due to academic and/or psychosocial needs, and who meet the following:

1) Patients who demonstrate significant and problematic disruptive behaviour or who have problems with inattention that interfere with learning; AND

2) Prescribed by or in consultation with, a specialist in pediatric psychiatry, pediatrics or a general practitioner with expertise in ADHD; AND

3) Have been tried on methylphenidate immediate release (IR) or methylphenidate slow release (SR) or Dexedrine IR or Dexedrine SR (Spansules), and have experienced unsatisfactory results due to poor symptom control, side effects, administrative barriers, or societal barriers.

Administrative barriers include:
. inability of a school to dose the child at lunch;
. the school lunch hour does not coincide with the dosing schedule;
. poor compliance with noon or afternoon doses;
. the patient is unable to swallow tablets.

Societal barriers include:
. the patient or patient's caregiver(s) has(have) a history of substance abuse or diversion of listed immediate-release alternatives;
. the patient or patient's caregiver(s) is/are at risk of substance abuse or diversion of listed immediate-release alternatives.