Does Forever Blue 770 (PPO) cover aripiprazole?
Forever Blue 770 (PPO)
H5526-018-0 · MA_LOCAL · Medicare Part D
aripiprazole
Do you get help with your Medicare drug costs?None of these
Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.
aripiprazoleunder Forever Blue 770 (PPO)
Covered — some forms require prior authorization
6 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
$3per 30-day fill
Part D caps what you pay out of pocket at $2,100 for 2026. From the first fill — no deductible on this drug.
This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.
Amount limit applies — this plan covers 1 mL per 28 days. You can still fill it — more than that needs your plan's approval, which your doctor's office requests.
- Tier
- Tier 2
- Approval first
- Required
- Try another first
- No
- Amount limit
- 1 mL per 28 days
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 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.
Covered forms and strengths (16)
- 1.5 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]Tier 51 syringe per 28 days
- 2 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]Tier 51 syringe per 28 days
- aripiprazole 1 MG/ML Oral SolutionTier 4Approval first
- aripiprazole 10 MG Disintegrating Oral TabletTier 4Approval first
- aripiprazole 10 MG Oral Film [Opipza]Tier 5Approval first
- aripiprazole 10 MG Oral TabletTier 2
- aripiprazole 15 MG Disintegrating Oral TabletTier 5Approval first
- aripiprazole 15 MG Oral TabletTier 2
- aripiprazole 2 MG Oral Film [Opipza]Tier 5Approval first
- aripiprazole 2 MG Oral TabletTier 2
- aripiprazole 20 MG Oral TabletTier 2
- aripiprazole 30 MG Oral TabletTier 2
- aripiprazole 300 MG Injection [Abilify]Tier 51 unit per 28 days
- aripiprazole 400 MG Injection [Abilify]Tier 51 unit per 28 days
- aripiprazole 5 MG Oral Film [Opipza]Tier 5Approval first
- aripiprazole 5 MG Oral TabletTier 2