Public record

Lisdexamfetamine: the public record

7 tables from US federal sources. Latest data date: Nov 11, 2026.

Each table is computed from the named federal dataset as of its data date; the method is under each one.

Label

FDA label facts for lisdexamfetamine

The FDA label read for lisdexamfetamine (Vyvanse, application NDA021977) was last revised on 2026-04-30. It carries a boxed warning headed "WARNING: ABUSE, MISUSE, AND ADDICTION VYVANSE". Of the 4 population sections checked, 4 are present: pregnancy, lactation, pediatric use, geriatric use.

FDA label facts for lisdexamfetamine: the figures
MeasureValueNote
Label revision date2026-04-30
Label readVyvanseNDA021977, brand-name application
Boxed warningYesheading as printed: "WARNING: ABUSE, MISUSE, AND ADDICTION VYVANSE"
Pregnancy sectionPresent
Lactation sectionPresent
Pediatric use sectionPresent
Geriatric use sectionPresent

Source: FDA drug label via openFDA, viewable on NIH DailyMed, data as of Nov 11, 2026

How this was calculated

Selected the most recently revised prescription label for this single ingredient from an original manufacturer, preferring a brand-name application. Checked which sections exist and quoted headings and sentences exactly as printed.

Scope: One label: the newest prescription label for single-ingredient lisdexamfetamine from an original manufacturer, matched to Vyvanse

Read from one label. Labels for other brands, strengths or forms of the same ingredient can differ. A missing section heading does not mean there is no guidance. Read the full label before relying on it.

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Approvals

FDA approval history for lisdexamfetamine

The earliest FDA approval on file for a lisdexamfetamine product is 2007-02-23. Drugs@FDA lists 25 applications for it and 85 approved supplements, the most recent on 2026-10-06.

FDA approval history for lisdexamfetamine: the figures
MeasureValueNote
Earliest FDA approval on file2007-02-23
Applications with an approval on file25
New drug applications (NDA)3
Generic applications (ANDA)22
Approved supplements85label, manufacturing and efficacy changes
Most recent supplement approval2026-10-06
Sponsoring companies20

Source: FDA, Drugs@FDA, data as of Nov 11, 2026

How this was calculated

Selected applications with a product whose only active ingredient is this substance, then counted approved original and supplemental submissions. The earliest approved original submission is the first approval.

Scope: Applications with a single-ingredient lisdexamfetamine product in Drugs@FDA, all sponsors and strengths

Older approvals can be missing dates, and tentative approvals are not counted. An approved application does not mean the product is currently marketed.

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Patents and generics

Patents and generic approvals for lisdexamfetamine

The FDA Orange Book lists 22 approved generic applications for lisdexamfetamine, the first approved on 2023-08-25. 3 listed patents on specific brand products have not yet expired, the last on 2040-08-30; generics of other versions are already approved.

Patents and generic approvals for lisdexamfetamine: the figures
MeasureValueNote
Brand-name applications (NDA)3
Approved generic applications (ANDA)22first approved 2023-08-25
Companies with a generic not marked discontinued18
Listed patents not yet expired3
Latest listed patent expiry2040-08-30on any product; may cover only one brand formulation
Earliest approval date on file2007-02-23
Products not marked discontinued161 of 161

Source: FDA, Orange Book (Approved Drug Products with Therapeutic Equivalence Evaluations), data as of Oct 9, 2026

How this was calculated

Selected Orange Book products whose only active ingredient is this substance, then counted applications by type and the distinct patents and exclusivities listed against them. Expired patents are left out.

Scope: All single-ingredient lisdexamfetamine products in the Orange Book, every brand and strength, files dated 2026-10-09

An approved generic or an expired patent does not show that a generic is on sale. Launch timing also depends on litigation, settlements and supply. Biologics and compounded products are not in the Orange Book.

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Medicare Part D

Medicare Part D spending on lisdexamfetamine

Medicare Part D spending on lisdexamfetamine products was $133.3M in 2024 across 409,947 claims, compared with $154.1M in 2023 (-13.5%). Average spending per claim was $325, before rebates.

Medicare Part D spending on lisdexamfetamine: the figures
MeasureValueNote
Total spending, 2024$133.3M
Total spending, 2023$154.1M
Change in spending, 2023 to 2024-13.5%
Claims (prescription fills), 2024409,947
Average spending per claim, 2024$325
Vyvanse: spending, 2024$88.8M212,410 claims
Lisdexamfetamine Dimesylate: spending, 2024$44.5M197,537 claims

Source: CMS, Medicare Part D Spending by Drug, data as of 2024

How this was calculated

Summed total spending and claims over every brand and generic row with this generic name in the CMS file, using the Overall manufacturer rows. Combination products excluded. Average per claim is spending divided by claims.

Scope: Every single-ingredient lisdexamfetamine product in Part D (Vyvanse, Lisdexamfetamine Dimesylate), 2024. Not limited to Vyvanse.

Gross drug cost before manufacturer rebates, so net cost is lower. Part D excludes some uses by law (for example erectile dysfunction, weight loss and hair growth), so claims reflect covered uses only. Compounded products are not included.

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Adverse event reports

Most reported events in FDA adverse event reports for lisdexamfetamine

Through 2026-10-28, FDA had received 31,760 adverse event reports for lisdexamfetamine, 14,163 of them marked serious by the reporter. The symptom terms named most often were fatigue (2,096), anxiety (1,894) and headache (1,744).

Most reported events in FDA adverse event reports for lisdexamfetamine: the figures
MeasureValueNote
All reports received31,760
Reports the reporter marked serious14,163death, hospitalisation, disability or similar outcome
Fatigue2,096 reports
Anxiety1,894 reports
Headache1,744 reports
Nausea1,547 reports
Depression1,346 reports

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, data as of Oct 28, 2026

How this was calculated

Counted FAERS reports listing this active substance, then the reaction terms named most often. A report can name several reactions, and a term can describe the illness being treated and not an effect of the drug. Terms about product use or complaints rather than symptoms (for example drug ineffective) were left out of the list.

Scope: Reports where FDA recorded lisdexamfetamine as a single-ingredient active substance (any brand, not only Vyvanse), all years to 2026-10-28

FAERS reports are unverified and do not prove the drug caused the event. Reporting rises with use, publicity and lawsuits, so these counts cannot give rates or risks and cannot be compared between drugs.

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Recalls

FDA drug recalls naming lisdexamfetamine

FDA enforcement reports list 11 drug recall entries naming lisdexamfetamine from 2016 to 2025-11-05. 2 of them are for compounded or other unlisted products and 9 for products FDA lists under a label. The most common stated reason was dissolution or stability failure (8 of 11).

FDA drug recalls naming lisdexamfetamine: the figures
MeasureValueNote
Recall entries on record11
For products FDA lists under an approved or registered label9
For compounded or other unlisted products2matched by the name in the product description
Class I (most serious)0
Class II10
Class III1
Most recent recall reported2025-11-05
Most common stated reasondissolution or stability failure8 of 11 entries

Source: FDA, Enforcement Reports (drug recalls) via openFDA, data as of Nov 10, 2026

How this was calculated

Counted enforcement report entries matched by FDA's listed active substance, or by the name in the product description where FDA lists none. Reasons were grouped by keywords in FDA's stated reason.

Scope: Recalls of single-ingredient lisdexamfetamine products, plus compounded or unlisted products whose description names it

Each recall covers specific lots from one firm and is not a statement about every product with this ingredient. One event can appear as several entries, one per product.

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Clinical studies

Registered clinical studies of lisdexamfetamine

ClinicalTrials.gov lists 127 registered studies that name lisdexamfetamine as an intervention as of 2026-11-11. Of these, 5 are recruiting, 94 are completed and 33 are phase 3 studies.

Registered clinical studies of lisdexamfetamine: the figures
MeasureValue
Registered studies127
Recruiting now5
Not yet recruiting1
Completed94
Terminated, withdrawn or suspended20
Phase 3 (including phase 2/3)33
Phase 2 (including phase 1/2)24
Phase 115

Source: NIH National Library of Medicine, ClinicalTrials.gov, data as of Nov 11, 2026

How this was calculated

Searched the ClinicalTrials.gov intervention field for the name, downloaded every matching record and counted by overall status and phase. Combined phases are counted under the higher phase. Phase not applicable covers observational, device and behavioural studies.

Scope: Studies whose intervention field matches lisdexamfetamine, any condition, any country, all statuses

A registered study is not a result. Counts include studies where the drug is a comparator or background treatment, and studies that never finished or reported.

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Articles on Lisdexamfetamine