Benefily
Varies by plan

Does California Physicians' Service require prior authorization for Abilify?

Prior authorization for Abilify differs across California Physicians' Service's Medicare Part D plans and product strengths — 3 of 12 Abilify products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.

Some plans require authorization and others do not. The member's specific plan decides.

  • This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
1.5 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]160260417 / 171700Prior authorization required
2 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]160260717 / 171700Prior authorization required
aripiprazole 400 MG Injection [Abilify]165981417 / 171700Prior authorization required
aripiprazole 300 MG Injection [Abilify]16598180 / 17000Not on formulary
2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]26366400 / 17000Not on formulary
3.2 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]26366460 / 17000Not on formulary
aripiprazole 10 MG Oral Tablet [Abilify]3523070 / 17000Not on formulary
aripiprazole 15 MG Oral Tablet [Abilify]3523080 / 17000Not on formulary
aripiprazole 20 MG Oral Tablet [Abilify]3523090 / 17000Not on formulary
aripiprazole 30 MG Oral Tablet [Abilify]3523100 / 17000Not on formulary
aripiprazole 5 MG Oral Tablet [Abilify]4046020 / 17000Not on formulary
aripiprazole 2 MG Oral Tablet [Abilify]6151720 / 17000Not on formulary

Product names come from RxNorm (U.S. National Library of Medicine).

Plan-by-plan detail — 1.5 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]

Abilify has 12 products in the corpus; this table is for 1.5 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Blue Shield 65 Plus (HMO)H0504-0155YesNoNo
Blue Shield 65 Plus (HMO)H0504-0175YesNoNo
Blue Shield 65 Plus (HMO)H0504-0265YesNoNo
Blue Shield 65 Plus (HMO)H0504-0285YesNoNo
Blue Shield 65 Plus (HMO)H0504-0385YesNoNo
Blue Shield 65 Plus (HMO)H0504-0395YesNoNo
Blue Shield 65 Plus Choice Plan (HMO)H0504-0405YesNoNo
Blue Shield 65 Plus Plan 2 (HMO)H0504-0215YesNoNo
Blue Shield Advantage (HMO)H0504-0505YesNoNo
Blue Shield AdvantageOptimum Plan (HMO)H5928-0045YesNoNo
Blue Shield AdvantageOptimum Plan 1 (HMO)H5928-0105YesNoNo
Blue Shield Inspire (HMO)H0504-0415YesNoNo
Blue Shield Inspire (HMO)H0504-0435YesNoNo
Blue Shield Inspire (HMO)H0504-0475YesNoNo
Blue Shield Rx Enhanced (PDP)S2468-0045YesNoNo
Blue Shield Rx Plus (PDP)S2468-0035YesNoNo
Blue Shield TotalDual Plan (HMO D-SNP)H2819-0015YesNoNo
Source
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File
Effective
2026-06-30
Retrieved
2026-07-19
SHA-256
e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Abilify at other payers

Or see Abilify across every payer at once.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.