FillMapVIVA Medicare Classic (HMO)

Does VIVA Medicare Classic (HMO) cover aripiprazole?

VIVA Medicare Classic (HMO)
H0154-017-0 · 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 VIVA Medicare Classic (HMO)
Covered — the conditions depend on which form
Not the same for every form: 3 of 18 need your plan’s approval first, and 2 of 18 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.
What you'd pay
$12per 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 — 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 2
Approval first
Required
Try another first
Required
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 51 syringe per 28 days
  • 2 ML aripiprazole 200 MG/ML Prefilled Syringe [Abilify]Tier 51 syringe per 28 days
  • 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]Tier 52.4 mL per 56 days
  • 3.2 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify]Tier 53.2 mL per 56 days
  • aripiprazole 1 MG/ML Oral SolutionTier 4900 mL per 30 days
  • aripiprazole 10 MG Disintegrating Oral TabletTier 4Try another first60 tablets per 30 days
  • aripiprazole 10 MG Oral Film [Opipza]Tier 5Approval first90 units per 30 days
  • aripiprazole 10 MG Oral TabletTier 230 tablets per 30 days
  • aripiprazole 15 MG Disintegrating Oral TabletTier 4Try another first60 tablets per 30 days
  • aripiprazole 15 MG Oral TabletTier 230 tablets per 30 days
  • aripiprazole 2 MG Oral Film [Opipza]Tier 5Approval first30 units per 30 days
  • aripiprazole 2 MG Oral TabletTier 230 tablets per 30 days
  • aripiprazole 20 MG Oral TabletTier 230 tablets per 30 days
  • aripiprazole 30 MG Oral TabletTier 230 tablets per 30 days
  • 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 first30 units per 30 days
  • aripiprazole 5 MG Oral TabletTier 230 tablets per 30 days

← All coverage for aripiprazole