I personally believe medication should be the final step and only given if essential for the CHILD to feel better. Not to make them conform better because 504 plans should offer help to a child in terms of environment and things that the school/teacher can do FOR the child to make it better.
So often teachers/schools take away recess time and gym time. Sometimes on purpose which is problematic (compounds the problem) but often just because it is seen as interfering with learning time. But I contend that a lot of physical activity improves learning, behavior, conformity.
So, I'd rather see more of that added in and less medication.
But medication is at times needed. If it allows a child to FEEL better, then it's the right choice.
Hope that helps