Thyme Gilcrest, an honor student in an upscale suburban high school, begins her short career as drug dealer by taking a friend's Ritalin and finding it useful as a "study drug." Though she has suspected she might have ADHD (attention deficit hyperactivity disorder), her parents don't think so; what she does know is that the drug helps her focus and perform with reassuring reliability. Gradually, experimenting with the effects of other drugs--Adderall, Xanax, Zoloft, Valium, and others easily found in medicine cabinets or in the purses of parents' party guests--she finds herself able not only to "manage" her own mood swings and compensate for the effects of the Ritalin, but also to supply a growing number of friends who trade in prescription drugs.
For some time, since she hardly fits the profile of a drug dealer, she is able to remain in denial about her growing preoccupation with obtaining and distributing drugs. Only when one friend gets caught, another commits suicide, and a boyfriend confronts her does she decide she needs to be done with personal use and disengage from the network of codependent "friends" who have come to rely on her for their drugs of choice. In the final chapter, in her college dorm, she once again faces the temptation to deal when she overhears new acquaintances asking where they might get Adderall or Ritalin or Stratera. They're willing to pay.