FillMapGold Coast Health Plan Total Care Advantage (HMO D-SNP)

Does Gold Coast Health Plan Total Care Advantage (HMO D-SNP) cover aripiprazole?

Gold Coast Health Plan Total Care Advantage (HMO D-SNP)
H9623-001-0 · MA_LOCAL · Medicare Part D
aripiprazole
Your Extra Help level

Everyone on this plan has Medicare and Medicaid, which qualifies you for Extra Help automatically — so the figures below already use the statutory copays, not this plan’s published cost sharing. Nothing here is saved.

Full Extra Help: no deductible, and at most $5.10 generic or $12.65 brand-name per fill.

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 Gold Coast Health Plan Total Care Advantage (HMO D-SNP)
Covered — some forms require prior authorization
12 of 18 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

Part D caps what you pay out of pocket at $2,100 for 2026. Before that, you pay the full price until you have paid $615 this year.

This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.

Amount limit applies — how much depends on the strength you are prescribed — the cap for each one is listed below. You can still fill it; more than that needs your plan's approval, which your doctor's office requests.
Tier
Tier 1
Approval first
Required
Try another first
No
Amount limit
Varies by strength
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 (18)

  • 1.5 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]Tier 11 syringe per 28 days
  • 2 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]Tier 11 syringe per 28 days
  • 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]Tier 12.4 mL per 56 days
  • 3.2 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]Tier 13.2 mL per 56 days
  • aripiprazole 1 MG/ML Oral SolutionTier 1Approval first750 mL per 30 days
  • aripiprazole 10 MG Disintegrating Oral TabletTier 1Approval first60 tablets per 30 days
  • aripiprazole 10 MG Oral Film [Opipza]Tier 1Approval first90 units per 30 days
  • aripiprazole 10 MG Oral TabletTier 1Approval first30 tablets per 30 days
  • aripiprazole 15 MG Disintegrating Oral TabletTier 1Approval first60 tablets per 30 days
  • aripiprazole 15 MG Oral TabletTier 1Approval first30 tablets per 30 days
  • aripiprazole 2 MG Oral Film [Opipza]Tier 1Approval first30 units per 30 days
  • aripiprazole 2 MG Oral TabletTier 1Approval first45 tablets per 30 days
  • aripiprazole 20 MG Oral TabletTier 1Approval first30 tablets per 30 days
  • aripiprazole 30 MG Oral TabletTier 1Approval first30 tablets per 30 days
  • aripiprazole 300 MG Injection [Abilify]Tier 11 unit per 28 days
  • aripiprazole 400 MG Injection [Abilify]Tier 11 unit per 28 days
  • aripiprazole 5 MG Oral Film [Opipza]Tier 1Approval first90 units per 30 days
  • aripiprazole 5 MG Oral TabletTier 1Approval first45 tablets per 30 days

← All coverage for aripiprazole