The list price, also known as the Wholesale Acquisition Cost (WAC),* of
*This is the price of
Select the kind of insurance you have below to see what you can expect to pay for ABILIFY MAINTENA.
Employer or individual
The cost for ABILIFY MAINTENA will depend on your specific insurance plan.
With the ABILIFY MAINTENA Savings Card, eligible patients with this type of insurance can pay as little as $10 per 30-day calendar month with an annual maximum benefit of $8,000 and monthly $1,400 maximum. Presumes only 1 prescription filled per calendar month. Conditions apply. See below for more information.
Because each plan has different preferred drugs, out-of-pocket costs, and deductible requirements, talk to your insurance provider to find out your actual cost.
Medicare
With Medicare, out-of-pocket costs for ABILIFY MAINTENA average about $8.90 per month as of February 2021. Of course, out-of-pocket costs vary throughout the year, depending on which phase of Part D you’re in.
Your cost could be less if you’re eligible for the Social Security Administration’s Extra Help Program. For more information, click here.
Medicaid
With Medicaid, the cost of ABILIFY MAINTENA averages about $1.11 per month as of February 2021. You may pay more or less depending on your state’s formulary.
To find out if you qualify for Medicaid, or to learn more about co-payments in your state, visit https://www.medicaid.gov/state-overviews/index.html.
No insurance
If you don’t have insurance or your plan doesn’t cover ABILIFY MAINTENA, you can expect to pay the list price noted above, plus any applicable pharmacy charges.
If you’re unable to pay for ABILIFY MAINTENA, Otsuka may be able to help. If you don’t have health insurance or can’t afford your ABILIFY MAINTENA, the Otsuka Patient Assistance Foundation (OPAF) might be able to help you get your medicine for free.*
*Otsuka America Pharmaceutical, Inc. does not control or influence how the Otsuka Patient Assistance Foundation distributes funds.
Save on ABILIFY MAINTENA*
You may be eligible to start saving on your ABILIFY MAINTENA prescription by taking this card to your next injection appointment.*
Eligible patients may pay as little as $10 per 30-day calendar month with an annual maximum benefit of $8,000 and monthly $1,400 maximum. Presumes only 1 prescription filled per calendar month.
Details and Eligibility
For Patients: In order to redeem this offer you must have a valid prescription for ABILIFY MAINTENA® (aripiprazole). This offer may not be redeemed for cash. By using this offer, you are certifying that you meet the eligibility criteria (not a member of a federal, state, or government insurance program) and will comply with the terms and conditions described in the Restrictions section below. Patients with questions about the offer should call
Pharmacist: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs for this prescription. As a condition of payment, you certify that you are in compliance with all program rules, terms, and conditions, as well as with any obligations to provide notice of your participation in this program to third-party payers as required by law, contract, or otherwise.
Pharmacist Instructions for a Patient with an Eligible Third Party: Submit the claim to the primary Third-Party Payer first, then submit the balance due to PDMI as a Secondary Payer coordination of benefits with patient responsibility amount and a valid Other Coverage Code (e.g., 8). For ABILIFY MAINTENA prescription, patient may pay as little as $10 with an annual maximum benefit of $8,000 and monthly $1,400 maximum. Reimbursement will be received from PDMI.
Valid Other Coverage Code Required. For any questions regarding PDMI online processing, please call the Help Desk at
For Healthcare Professionals: When you apply for this offer, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs for this prescription. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider. By participating in this program, you are certifying that you will comply with the terms and conditions described in the Restrictions section below.
Restrictions: This offer is only valid in the United States and Puerto Rico, and is not transferable. Patients are not eligible if they are under 18 years of age, or are covered in whole or in part by any state program or federal healthcare program, including, but not limited to, Medicare or Medicaid (including Medicaid managed care), Medigap, VA, DOD, or TRICARE. Offer void where prohibited by law, taxed, or restricted. Other restrictions may apply. This program is not health insurance. Otsuka America Pharmaceutical, Inc. has the right to rescind, revoke, or amend this program at any time without notice. Your participation in this program confirms that this offer is consistent with your insurance coverage and that you will report the value received if required by your insurance provider. When you use this card, you are certifying that you understand and will comply with the program rules, terms, and conditions. Program managed by TrialCard on behalf of Otsuka America Pharmaceutical, Inc. Offer not valid for cash-paying patients OR where drug is not covered by the primary insurance.