Varies by plan

Does Mmm Healthcare, LLC require prior authorization for Abilify?

Prior authorization for Abilify differs across Mmm Healthcare, LLC's Medicare Part D plans and product strengths — 6 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	Qty limit	Status
1.5 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]1602604	20 / 20	20	20	Prior authorization required
2 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]1602607	20 / 20	20	20	Prior authorization required
aripiprazole 400 MG Injection [Abilify]1659814	20 / 20	20	20	Prior authorization required
aripiprazole 300 MG Injection [Abilify]1659818	20 / 20	20	20	Prior authorization required
2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]2636640	20 / 20	20	20	Prior authorization required
3.2 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]2636646	20 / 20	20	20	Prior authorization required
aripiprazole 10 MG Oral Tablet [Abilify]352307	0 / 20	0	0	Not on formulary
aripiprazole 15 MG Oral Tablet [Abilify]352308	0 / 20	0	0	Not on formulary
aripiprazole 20 MG Oral Tablet [Abilify]352309	0 / 20	0	0	Not on formulary
aripiprazole 30 MG Oral Tablet [Abilify]352310	0 / 20	0	0	Not on formulary
aripiprazole 5 MG Oral Tablet [Abilify]404602	0 / 20	0	0	Not on formulary
aripiprazole 2 MG Oral Tablet [Abilify]615172	0 / 20	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
MMM Balance (HMO-POS)	H4004-073	6	Yes	No	Yes
MMM Balance (HMO-POS)	H4004-073	6	Yes	No	Yes
MMM Balance (HMO-POS)	H4004-073	6	Yes	No	Yes
MMM Combo Platino (HMO D-SNP)	H4004-068	6	Yes	No	Yes
MMM Deluxe (HMO-POS)	H4003-055	6	Yes	No	Yes
MMM Diamante Platino (HMO D-SNP)	H4003-017	6	Yes	No	Yes
MMM Dorado Platino (HMO D-SNP)	H4003-058	6	Yes	No	Yes
MMM Elite (HMO-POS)	H4003-034	6	Yes	No	Yes
MMM Flexi Platino (HMO D-SNP)	H4004-069	6	Yes	No	Yes
MMM Grandioso (HMO-POS)	H4004-070	6	Yes	No	Yes
MMM Mega Flex (HMO-POS)	H4004-071	6	Yes	No	Yes
MMM Plenitud (HMO-POS)	H4004-065	6	Yes	No	Yes
MMM Relax Platino (HMO D-SNP)	H4004-072	6	Yes	No	Yes
MMM Relax Platino (HMO D-SNP)	H4004-072	6	Yes	No	Yes
MMM Relax Platino (HMO D-SNP)	H4004-072	6	Yes	No	Yes
MMM Supremo (HMO C-SNP)	H4003-009	6	Yes	No	Yes
MMM Unico (HMO-POS)	H4003-019	6	Yes	No	Yes
MMM Valioso (HMO-POS)	H4004-066	6	Yes	No	Yes
PMC Max (HMO-POS)	H4004-056	6	Yes	No	Yes
PMC Premier Platino (HMO D-SNP)	H4004-048	6	Yes	No	Yes

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.