Abilify (Aripiprazole) Medicare Coverage

Abilify
Chemical name: Aripiprazole

Brand name: Abilify

Typical dosage: 5mg

Typical type: Tablet1

Abilify is a medication typically used to treat a variety of mood disorders. Abilify is available as a brand name or a generic and comes as an oral tablet or an oral liquid.

Abilify is a medication that contains the active ingredient Aripiprazole. Abilify is typically taken once daily.

Abilify is used to treat a variety of mental disorders including bipolar disorder, irritability associated with autism, major depressive disorder, schizophrenia and Tourette’s disorder.

Common side effects of Abilify include dizziness, sleepiness, weakness, restlessness, anxiety, headache, upset stomach, weight gain, constipation, trouble sleeping, nose or throat irritation, dry mouth, shakiness and stuffy nose.

Does Medicare cover Abilify or Aripiprazole?

While some Medicare plans may not cover Abilify, 100% of Medicare Advantage plans and Medicare Part D plans cover Aripiprazole.1

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.2

  • Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Aripiprazole.

Find Medicare Advantage plans with drug coverage

Compare Plans

Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

 

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Average costs for Aripiprazole with Medicare drug coverage1

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.
After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.
$10 – $493 $3 – $204

Additional information

Abilify can cause an increased chance of suicidal thoughts or actions in children and young adults who take it. The risk of suicidal thoughts or actions is higher in people who have experienced those symptoms before.

Talk to your doctor right away if you experience changes in mood, nervousness or panic attacks.

Abilify should not be used to treat symptoms related to dementia, as it has shown to raise the chance of death in older adults. Most of the deaths were linked to heart disease or infection.

 

 

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

 

Written by Hayden Gharibyar, Pharm.D.