Vraylar (Cariprazine) Medicare Coverage

Vraylar
Chemical name: Cariprazine

Brand name: Vraylar

Typical dosage: 1.5mg

Typical type: Capsule1

Vraylar is a medication used to treat bipolar disorder and schizophrenia. Vraylar is available only as a brand name drug and comes as an oral capsule.

Vraylar is a medication that contains the active ingredient Cariprazine. Vraylar ­­­­is used to treat bipolar disorder and schizophrenia.

It is typically taken once daily, and the dose depends on your condition and how well you tolerate the medication. Vraylar works by increasing serotonin and dopamine levels in the brain.

Common side effects of Vraylar include weight gain, constipation, diarrhea, upset stomach, tooth pain, headache, dizziness, sleepiness, insomnia, restlessness and anxiety.  

Does Medicare cover Vraylar or Cariprazine?

Yes! 100% of Medicare Advantage plans and Medicare Part D plans cover Vraylar.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 Vraylar.

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Average costs for Vraylar 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.
$305 – $1,316 $301 – $1,316

Additional information

Vraylar can increase the risk of suicidal thoughts in patients who take it. Talk to your doctor if you experience suicidal thoughts or signs of negative mood, depression, unusual negative thoughts or lack of interest in life.

Vraylar is not intended to treat dementia-related psychosis in older patients.

Call your doctor if you experience signs of high blood sugar while taking Vraylar such as confusion, sleepiness, extreme thirst and hunger or accelerated breathing.

A bad health problem called neuroleptic malignant syndrome can occur while taking Vraylar. Call your doctor if you experience fever, muscle cramps or stiffness, dizziness, headache, confusion, fast or abnormal heartbeat or if you are sweating a lot.

 

 

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.

Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

1 GoodRx. Vraylar. Retrieved Sep. 2019, from www.goodrx.com/vraylar.

2 Jacobson, Gretchen; et al. A Dozen Facts About Medicare Advantage. (Nov. 13, 2018). Kaiser Family Foundation. Retrieved from www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage.

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.