2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]

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aripiprazole

RxCUI: 2636640

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
88.4%
Plan Coverage
4,481
Plans Covering
T4.2
Avg Tier
2.4%
Prior Auth Required

What the CMS Formulary Data Shows for 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]

Per the CMS 2026 Part D formulary file, 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] (RxNorm concept RXCUI 2636640, generic name aripiprazole) appears on 252 distinct formulary files spanning 4,481 Medicare Part D plan offerings - 88.4% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 4.2.

Real-world access to 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] depends on utilization management as much as tier placement: 2.4% of covering formularies require prior authorization. 1.2% require step therapy. 94.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,736 Part D beneficiaries filled 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] in 2023, with total plan-and-beneficiary spending of $11,882,943 and an average per-beneficiary annual cost of $6,845.01. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] today.

Coverage Details

Formularies covering
252
Plans covering
4,481
Coverage rate
88.4%
Tier range
Tier 1 – Tier 6
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
2.4% of formularies
Step therapy required
1.2% of formularies
Quantity limits
94.8% of formularies

2023 Medicare Spending

Beneficiaries
1,736
Total spending
$11,882,943
Avg per beneficiary
$6,845.01

Tier Distribution Across Plans

90 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
9 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Sentara Community Complete Select (HMO D-SNP) SENTARA HEALTH PLANS T1 No $0 VA
Sentara Community Complete (HMO D-SNP) SENTARA HEALTH PLANS T1 No $0 VA
Florida Complete Care-Duals VIP (HMO-POS D-SNP) HPMP OF FLORIDA, INC. T1 No $0 FL
ElderServe MAP (HMO D-SNP) ELDERSERVE HEALTH, INC. T1 No $0 NY
Cooperative Advantage (HMO D-SNP) GROUP HEALTH COOPERATIVE OF EAU CLAIRE T1 No $0 WI
Longevity Health Plan (PPO I-SNP) LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP T1 No $0 NJ
Mercy Care Advantage (HMO D-SNP) MERCY CARE T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) MERCY CARE T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) MERCY CARE T1 No $0 AZ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) ELDERPLAN, INC. T1 No $0 NY
Health Choice Pathway (HMO D-SNP) HEALTH CHOICE ARIZONA, INC. T1 No $0 AZ
Healthfirst CompleteCare (HMO D-SNP) HEALTHFIRST HEALTH PLAN, INC. T1 No $0 NY
IMCare Classic (HMO D-SNP) ITASCA MEDICAL CARE T1 No $0 MN
Johns Hopkins Advantage MD D-SNP (HMO D-SNP) HOPKINS HEALTH ADVANTAGE, INC. T1 No $0 MD
MetroPlus UltraCare (HMO D-SNP) METROPLUS HEALTH PLAN, INC. T1 No $0 NY
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) UPPER PENINSULA HEALTH PLAN, LLC T1 No $0 MI
CareSource Dual Advantage (HMO D-SNP) CARESOURCE GEORGIA CO. T1 No $0 GA
Senior Whole Health SCO (HMO D-SNP) SENIOR WHOLE HEALTH, LLC T1 No $0 MA
Senior Whole Health SCO NHC (HMO D-SNP) SENIOR WHOLE HEALTH, LLC T1 No $0 MA
Molina One Care (HMO D-SNP) SENIOR WHOLE HEALTH, LLC T1 No $0 MA
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP CARESOURCE T1 No $0 MI
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 No $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 No $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 No $0 NM
Horizon NJ TotalCare (HMO D-SNP) HORIZON HEALTHCARE OF NEW JERSEY, INC. T1 No $0 NJ
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
SeniorCare Complete (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
AbilityCare (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
Alameda Alliance Wellness (HMO D-SNP) ALAMEDA ALLIANCE FOR HEALTH T1 No $0 CA
CCA One Care (HMO D-SNP) COMMONWEALTH CARE ALLIANCE, INC. T1 No $0 MA
CCA Senior Care Options (HMO D-SNP) COMMONWEALTH CARE ALLIANCE, INC. T1 No $0 MA
Elevate Medicare Choice (HMO D-SNP) DENVER HEALTH MEDICAL PLAN, INC. T1 No $0 CO
AllCare Advantage Redwood Rx (HMO D-SNP) ALLCARE HEALTH PLAN, INC. T1 No $0 OR
PrimeWest Senior Health Complete (HMO D-SNP) PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE T1 No $0 MN
Prime Health Complete (HMO D-SNP) PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE T1 No $0 MN
Alterwood Advantage Dual Secure (HMO D-SNP) ALTERWOOD ADVANTAGE, INC. T1 No $0 MD
Nascentia Dual Advantage (HMO D-SNP) VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK T1 No $0 NY
Abilis Health Community (HMO I-SNP) SIGNATURE ADVANTAGE, LLC T1 No $0 KY, TN
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) ARKANSAS SUPERIOR SELECT, INC. T1 No $0 AR
Community Care's Partnership Program (HMO D-SNP) COMMUNITY CARE HEALTH PLAN, INC. T1 No $0 WI
Platino Blindao (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Platino Enlace (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO ADVANCE (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO PLUS (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Health Options Duals (HMO D-SNP) HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC. T1 No $0 WV

Frequently Asked Questions

Is 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] covered by Medicare Part D?

Yes, 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] is covered by 4,481 Medicare Part D plans (88.4% of all Part D formularies).

What tier is 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] on Medicare Part D plans?

2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] averages Tier 4.2 across Part D plans, ranging from Tier 1 to Tier 6.

Does 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] require prior authorization?

2.4% of Part D formularies require prior authorization for 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]. Step therapy: 1.2%. Quantity limits: 94.8%.

How much does Medicare spend on 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]?

In 2023, total Medicare Part D spending on 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] was $11,882,943, covering 1,736 beneficiaries. The average spend per beneficiary was $6,845.01.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial