What are the full program details and eligibility requirements?
With this Savings Card, eligible, commercially insured patients can save on their out-of-pocket costs and pay as little as $5 per co-pay for their ABILIFY® (aripiprazole) prescriptions. When the co-pay for a 30-day supply is above $5, all eligible, commercially insured patients will pay the first $5, total benefit not to exceed the list price, as determined by Otsuka America Pharmaceutical, Inc. (OAPI) and communicated to your pharmacy. 60- and 90-day dispenses are permissible within the terms of the program. You can continue to use this card for as long as you are eligible or until this program is terminated. (Limit 1 card per patient.) The card is not transferable. Patients are not eligible if they are 65 years of age and older; pay cash for their prescriptions; or are covered in whole or in part by any state or federally funded programs, including, but not limited to, Medicare or Medicaid (including Medicaid managed care), Medigap, VA, FEHB, DOD, or TRICARE. Only valid in U.S. and Puerto Rico, but not for residents of Massachusetts or where otherwise prohibited by law. Offer void where prohibited by law, taxed, or restricted. Other conditions may apply.
To receive the benefits of this program, you must present the Savings Card to your pharmacist along with a valid ABILIFY prescription. This program is not health insurance. OAPI has the right to rescind, revoke, or amend this program without notice. Your participation in this program confirms that this offer is consistent with your insurance coverage and that you will report the value received if required by your insurance provider. When you use this card, you are certifying that you understand and will comply with the program rules, terms, and conditions. For questions, please call
8 am-7 pm ET, Monday-Friday.
Notice to the pharmacy: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs for this prescription. As a condition of payment, you certify that you are in compliance with all program rules, terms, and conditions, as well as with any obligations to provide notice of your participation in this program to third-party payers as required by law, contract, or otherwise.
- Submit transaction using BIN# 015251. Processor requires Valid Prescriber ID#, Patient Name, and DOB for claim adjudication
- If primary coverage exists, input card information as secondary coverage and transmit using the COB fields with other coverage code type 08 of the NCPDP transaction. Applicable discounts will be displayed in the transaction response
- For pharmacy assistance filing this claim, please call the Pharmacy Help Desk at
Do I need to take my card with me each time I refill?
No. After the first time you use your savings card, the information should be stored in the computer system of your pharmacy. However, if you change pharmacies, you’ll need to take your savings card with you. If you need another copy, you can simply download a new card.
What do I do if my insurance changes?
As long as your new insurance is not Medicare or Medicaid (including Medicaid managed care), Medigap, VA, FEHB, DOD, or TRICARE, or another federally or state funded program that covers your prescription, and this offer is consistent with your insurance, you should be able to use the savings card with a valid ABILIFY prescription. Your acceptance of this offer confirms that this offer is consistent with your insurance and that you will report the value received as may be required by your insurance provider. See full program details and elligibility requirments for the savings card.
Can I use my old savings card?
Yes, as long as it has not expired. But to be sure you can take advantage of the $5-a-month offer, you should download a new card.
What happens if I lose my savings card?
If you’ve already used your savings card, the information should be stored in the computer system of your pharmacy and the card will not be necessary. If you lost your card before you used it, or you need a replacement card, you can download a new card.
How long can I use my savings card?
You can continue to use this card for as long as you are eligible or until the program is terminated. Otsuka America Pharmaceutical, Inc. has the right to rescind, revoke, or amend this program without notice.
What if I’m using the savings card on someone else’s behalf?
If you are using the savings card on someone else’s behalf, just take the savings card, along with the ABILIFY prescription, to the pharmacy. You must be at least 18 years old to use the card.
Can my child save on his or her prescription?
Yes. However, if he or she is between the ages 6 and 17, you must use the card on your child’s behalf.