Benefily
No prior authorization

Does Triple S Advantage, INC. require prior authorization for Abilify?

Triple S Advantage, INC. does not require prior authorization for Abilify on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

  • No prior authorization is filed, but step therapy applies on 22 of 22 covering plans — the plan requires another drug be tried first.
  • 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]160260422 / 220220No prior authorization
2 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]160260722 / 220220No prior authorization
aripiprazole 400 MG Injection [Abilify]165981422 / 220220No prior authorization
aripiprazole 300 MG Injection [Abilify]16598180 / 22000Not on formulary
2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]26366400 / 22000Not on formulary
3.2 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]26366460 / 22000Not on formulary
aripiprazole 10 MG Oral Tablet [Abilify]3523070 / 22000Not on formulary
aripiprazole 15 MG Oral Tablet [Abilify]3523080 / 22000Not on formulary
aripiprazole 20 MG Oral Tablet [Abilify]3523090 / 22000Not on formulary
aripiprazole 30 MG Oral Tablet [Abilify]3523100 / 22000Not on formulary
aripiprazole 5 MG Oral Tablet [Abilify]4046020 / 22000Not on formulary
aripiprazole 2 MG Oral Tablet [Abilify]6151720 / 22000Not 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
Ahorro Plus (HMO)H5774-0475NoYesNo
Ahorro Plus (HMO)H5774-0475NoYesNo
Ahorro Plus (HMO)H5774-0475NoYesNo
Ahorro Plus (HMO)H5774-0475NoYesNo
Ahorro Plus (HMO)H5774-0475NoYesNo
Brillante (HMO-POS)H5774-0315NoYesNo
Contigo Plus (HMO C-SNP)H5774-0225NoYesNo
ContigoEnMente (HMO C-SNP)H5774-0465NoYesNo
Enlace Plus (HMO)H5774-0385NoYesNo
PLATINO ADVANCE (HMO D-SNP)H5774-0411NoYesNo
PLATINO ADVANCE (HMO D-SNP)H5774-0411NoYesNo
PLATINO ADVANCE (HMO D-SNP)H5774-0411NoYesNo
PLATINO ADVANCE (HMO D-SNP)H5774-0411NoYesNo
PLATINO ADVANCE (HMO D-SNP)H5774-0411NoYesNo
Platino Blindao (HMO D-SNP)H5774-0281NoYesNo
Platino Enlace (HMO D-SNP)H5774-0351NoYesNo
PLATINO PLUS (HMO D-SNP)H5774-0431NoYesNo
PLATINO PLUS (HMO D-SNP)H5774-0431NoYesNo
PLATINO PLUS (HMO D-SNP)H5774-0431NoYesNo
PLATINO PLUS (HMO D-SNP)H5774-0431NoYesNo
PLATINO PLUS (HMO D-SNP)H5774-0431NoYesNo
�ptimo Plus (PPO)H4005-0045NoYesNo
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.