Abilify Maintena Coupon - Abilify Maintena 400mg vial
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Abilify Maintena Coupon - Abilify Maintena 400mg vial

Abilify Maintena Medicare Coverage

Overview

Does Medicare cover Abilify Maintena?

Yes.
95% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Abilify Maintena co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Deductible
Typical
Donut Hole
Post-Donut Hole
Co-Pay Range
$1893 – $2036
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$95 – $2007
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$594 – $921
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$95 – $102
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Abilify Maintena

Here are some ways that may lower the cost of your Abilify Maintena prescription.

Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.
Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.

Find Your Abilify Maintena Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 1 vial of Abilify Maintena 400mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $906
AARP MedicareRx Saver Plus (PDP) $593
AARP MedicareRx Walgreens (PDP) $629
Aetna Medicare Rx Saver (PDP) $712
Anthem Blue Cross MedicareRx Plus (PDP) $637
Anthem MediBlue Essential (HMO) $598
CareMore Value Plus (HMO) $1086
Cigna-HealthSpring Preferred (HMO) $554
EnvisionRxPlus (PDP) $485
Express Scripts Medicare - Choice (PDP) $502
Express Scripts Medicare - Value (PDP) $483
First Health Part D Value Plus (PDP) $990
Humana Enhanced (PDP) $626
Humana Preferred Rx Plan (PDP) $474
Humana Walmart Rx Plan (PDP) $474
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $95
MedicareBlue Rx Standard (PDP) $712
SilverScript Plus (PDP) $834
Symphonix Value Rx (PDP) $687
TexanPlus Classic (HMO) $1670
Don't see your Medicare plan above?

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Abilify Maintena Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Abilify Maintena that may include:

Quantity Limits

Most Medicare plans restrict the amount of this prescription that can be purchased at one time. If you need to purchase a greater amount at one time, it may not be covered. Your options are to wait until that time period has passed before refilling, call your plan and ask for an exception, or consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is Abilify Maintena typically on?

Tier 5

Medicare plans typically list Abilify Maintena in Tier 5 of their formulary. Tier 5 drugs are usually non-preferred brand-name drugs. Tier 5 drugs cost more than Tier 1, 2, 3 and 4 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of January 2017 and the information may be updated. If you encounter any issues, please let us know.
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