Does Healthy Mississippi, INC. require prior authorization for Abilify?
Prior authorization for Abilify differs across Healthy Mississippi, INC.'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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 1.5 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]1602604 | 1 / 1 | 1 | 0 | 1 | Prior authorization required |
| 2 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]1602607 | 1 / 1 | 1 | 0 | 1 | Prior authorization required |
| aripiprazole 400 MG Injection [Abilify]1659814 | 1 / 1 | 1 | 0 | 1 | Prior authorization required |
| aripiprazole 300 MG Injection [Abilify]1659818 | 0 / 1 | 0 | 0 | 0 | Not on formulary |
| 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]2636640 | 0 / 1 | 0 | 0 | 0 | Not on formulary |
| 3.2 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]2636646 | 0 / 1 | 0 | 0 | 0 | Not on formulary |
| aripiprazole 10 MG Oral Tablet [Abilify]352307 | 0 / 1 | 0 | 0 | 0 | Not on formulary |
| aripiprazole 15 MG Oral Tablet [Abilify]352308 | 0 / 1 | 0 | 0 | 0 | Not on formulary |
| aripiprazole 20 MG Oral Tablet [Abilify]352309 | 0 / 1 | 0 | 0 | 0 | Not on formulary |
| aripiprazole 30 MG Oral Tablet [Abilify]352310 | 0 / 1 | 0 | 0 | 0 | Not on formulary |
| aripiprazole 5 MG Oral Tablet [Abilify]404602 | 0 / 1 | 0 | 0 | 0 | Not on formulary |
| aripiprazole 2 MG Oral Tablet [Abilify]615172 | 0 / 1 | 0 | 0 | 0 | Not 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.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Healthy Mississippi Premier Advantage (HMO-POS) | H8879-001 | 5 | Yes | No | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Abilify at other payers
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.