FillMapAtlas $8,400 HSA Bronze

Does Atlas $8,400 HSA Bronze cover aripiprazole?

Atlas $8,400 HSA Bronze
20173-20173WI0130027-0 · ACA · ACA Marketplace
aripiprazole
aripiprazoleunder Atlas $8,400 HSA Bronze
Covered — some forms require prior authorization
5 of 16 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$0per 30-day fill

Your plan’s deductible comes first — you pay the full price until it is met.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

Tier
Specialty
Approval first
Required
Try another first
No
Amount limit
None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Covered forms and strengths (16)

  • 1.5 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]
  • 2 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]
  • aripiprazole 1 MG/ML Oral Solution
  • aripiprazole 10 MG Disintegrating Oral TabletApproval first
  • aripiprazole 10 MG Oral Film [Opipza]Approval first
  • aripiprazole 10 MG Oral Tablet
  • aripiprazole 15 MG Disintegrating Oral TabletApproval first
  • aripiprazole 15 MG Oral Tablet
  • aripiprazole 2 MG Oral Film [Opipza]Approval first
  • aripiprazole 2 MG Oral Tablet
  • aripiprazole 20 MG Oral Tablet
  • aripiprazole 30 MG Oral Tablet
  • aripiprazole 300 MG Injection [Abilify]
  • aripiprazole 400 MG Injection [Abilify]
  • aripiprazole 5 MG Oral Film [Opipza]Approval first
  • aripiprazole 5 MG Oral Tablet

← All coverage for aripiprazole