The E 344 Pink Pill: A 20 mg Generic Adderall Tablet

What the E 344 pill is

A pink, round tablet about 10 millimeters across, with “E 344” on one face and a cross-shaped score dividing the other face into quarters, is amphetamine and dextroamphetamine 20 mg. That is the generic form of immediate-release Adderall, a blend of four amphetamine salts. Epic Pharma makes it. Like every amphetamine product it is a Schedule II controlled substance, prescribed for ADHD and narcolepsy.

E 344 or E 345: the last digit matters

Epic makes its 20 mg and 30 mg tablets in nearly the same pink round shape. The final digit of the imprint is the reliable way to tell them apart, and a fifty percent jump in dose is not a small difference. If a pharmacy fill looks different from the last one, ask the pharmacist before taking it. Manufacturers change, and so do tablet colors; the imprint on the label printout is what counts. Color is not a strength code. The strongest immediate-release tablet, 30 mg, is pink from Epic (E 345) but peach from Teva, both its brand Adderall (dp on one side, 3 | 0 on the other) and its generic (b 974), and other makers use orange, yellow or white.

How it works and what 20 mg means

Amphetamine increases the release of dopamine and norepinephrine in the brain and slows their reuptake. For someone with ADHD the result is steadier attention and less impulsivity. An immediate-release dose starts working within about half an hour and lasts roughly four to six hours. Twenty milligrams is a common mid-range dose. The Adderall prescribing information notes that for children 6 and older with ADHD only in rare cases will it be necessary to exceed 40 mg a day, the equivalent of two E 344 tablets.

The risks, including the warning FDA strengthened

In 2023 the FDA required stronger boxed warnings on every prescription stimulant, emphasizing misuse, addiction, and overdose, and noting that most people who misuse them get them from friends or family. At prescribed doses the common side effects are loss of appetite, insomnia, dry mouth, a faster heart rate, and anxiety. At higher doses, or when crushed and snorted, the risks become cardiac: dangerous blood pressure, chest pain, heart rhythm problems, and, rarely, stroke or sudden death, especially in people with underlying heart conditions. Stimulant psychosis, with paranoia and hallucinations, can follow days of heavy use and little sleep.

Why counterfeits are a bigger problem than they used to be

Amphetamine salt tablets have been in intermittent shortage since late 2022, and shortages push people who cannot fill a prescription toward other sources. The DEA warns that fake Adderall is pressed to look authentic and often contains methamphetamine, and sometimes fentanyl. A pink round tablet from a friend, a dealer, or a social media account is not an E 344 just because it says so. Only the pharmacy chain of custody makes it one.

Stopping after heavy use

Stimulant withdrawal is not medically dangerous the way alcohol or benzodiazepine withdrawal is, but it is real: exhaustion, heavy sleep, strong hunger, low mood, and for some people depression deep enough to bring suicidal thoughts. Those are the days to have support. There is no FDA-approved medication for stimulant use disorder; contingency management, which rewards negative drug tests, is the standard of care in the 2024 ASAM/AAAP stimulant use disorder guideline, which also confirms that any medication is used off-label. Counseling runs alongside it. Our stimulant detox guide explains when a supervised setting makes sense. For help independent of us, the state’s IME Addictions Access Center at 1-844-276-2777 (24/7) screens NJ FamilyCare and uninsured callers and refers them to treatment, and ReachNJ at 1-844-732-2465 is the state’s general treatment line. If you or someone you love is struggling with Adderall use in New Jersey, Periscope Behavioral Health, our publisher’s admissions line, at (888) 313-3583, can also help you find care. What a plan covers depends on the plan and the facility’s network status. If the crash turns dark, call or text 988.

For the blue 10 mg tablets, see our blue Adderall imprint guide. Our Adderall withdrawal guide covers the crash, symptoms, and timeline, and our Ritalin vs Adderall vs Vyvanse comparison explains how those stimulants differ. For how long amphetamine shows on urine, saliva, blood and hair tests, and what a prescription does and does not explain, see how long Adderall stays in your system.