Benefily
Varies by plan

Does Independent Health Association, INC. require prior authorization for Abilify?

Prior authorization for Abilify differs across Independent Health Association, 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 productPlans coveringRequire prior authStep therapyQty limitStatus
1.5 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]16026045 / 5500Prior authorization required
2 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]16026075 / 5500Prior authorization required
aripiprazole 400 MG Injection [Abilify]16598145 / 5500Prior authorization required
aripiprazole 300 MG Injection [Abilify]16598180 / 5000Not on formulary
2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]26366400 / 5000Not on formulary
3.2 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]26366460 / 5000Not on formulary
aripiprazole 10 MG Oral Tablet [Abilify]3523070 / 5000Not on formulary
aripiprazole 15 MG Oral Tablet [Abilify]3523080 / 5000Not on formulary
aripiprazole 20 MG Oral Tablet [Abilify]3523090 / 5000Not on formulary
aripiprazole 30 MG Oral Tablet [Abilify]3523100 / 5000Not on formulary
aripiprazole 5 MG Oral Tablet [Abilify]4046020 / 5000Not on formulary
aripiprazole 2 MG Oral Tablet [Abilify]6151720 / 5000Not 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
Independent Health's Assure Advantage (HMO C-SNP)H3362-0405YesNoNo
Independent Health's Encompass 65 RED 042 (HMO)H3362-0425YesNoNo
Independent Health's Encompass 65 RED 043 (HMO)H3362-0435YesNoNo
Independent Health's Encompass 65 RED 044 (HMO)H3362-0445YesNoNo
Independent Health's Medicare Family Choice (HMO I-SNP)H3362-0205YesNoNo
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.