ABILIFY
IMPORTANT SAFETY INFORMATION: Children, adolescents, and young adults taking antidepressants for Major Depressive Disorder (MDD) and other psychiatric disorders are at an increased risk of suicidal thinking and behavior. More
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IMPORTANT SAFETY INFORMATION for ABILIFY: U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING, and Medication Guide. Antidepressant medicines may increase suicidal thoughts or behaviors in some children, teenagers, and young adults, especially within the first few months of treatment or when the dose is changed. Depression and other serious mental illnesses are themselves associated with an increase in the risk of suicide. Expand for More

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Getting Started

If I download the savings card, does that mean I’m eligible?

No. You still need to take your card to your pharmacist along with your prescription. He or she will then let you know if you're eligible.

How do I start using my savings card?

Your savings card can only be used for brand-name ABILIFY. So if you would like to continue taking brand-name ABILIFY, ask your doctor to request brand-name ABILIFY on your prescription. If you've received a hard copy of the ABILIFY Savings Card, you must call 1-888-922-45431-888-922-4543 to activate it. Then take your savings card to the pharmacy along with your prescription. There, your pharmacist will let you know if you are eligible.

Where can I use my savings card?

You can use your ABILIFY Savings Card at pharmacies in the United States and Puerto Rico, but not if you are a resident of Massachusetts or where otherwise prohibited by law. Before you fill your prescription, make sure your pharmacy has brand-name ABILIFY in stock; if not, you can request it. The savings card can only be used for brand-name ABILIFY.

Can I use my savings card for a generic of ABILIFY?

No. The savings card can only be used for brand-name ABILIFY. If you prefer to keep taking the brand, talk with your doctor. He or she can request it on your prescription.*

*Your doctor can write "Dispense as Written" or equivalent language in your state. Pharmacy rules and local laws may apply.

The ABILIFY Savings Card Program

What do I get by signing up for the program?

Through the ABILIFY Savings Card Program, you'll get:

  • Updates on your card usage and savings
  • Tips on how to continue saving with your card
  • Information on getting more out of your treatment
  • Answers to frequently asked questions

How do I sign up for the program?

Once you've downloaded the savings card, you can sign up for the ABILIFY Savings Card Program. All you have to do to sign up is enter your name and e-mail, and agree to the terms of use.

Can anyone sign up for the program?

To sign up for the program, you must have a prescription for ABILIFY, commercial insurance, and be between the ages of 18 and 64. A caregiver/family member can sign up for the program only if their loved one is living with a condition for which ABILIFY is indicated and is between the ages of 6 and 64.

Working With Your Pharmacist

My pharmacist said I’m not eligible. Why?

To be eligible for the ABILIFY Savings Card offer, you must have commercial prescription insurance and be between the ages of 6 and 64. In addition, you must have a valid ABILIFY prescription. You are not eigible if you are covered in whole or in part by any state or federally funded programs, including, but not limited to, Medicare, Medicaid (including Medicaid managed care), Medigap, VA, FEHB, DOD, or TRICARE).

Can I still save if I use a mail order pharmacy?

Yes. However, some mail order companies may choose not to accept the savings card. You should call your mail order company first to see if they will accept the card.

What happens if I switch pharmacies?

If you fill your prescription at a new pharmacy, you'll need to present your savings card again. If you no longer have a card, you can download a new card.

What if my pharmacy doesn't have brand-name ABILIFY in stock?

Before you fill your prescription, make sure your pharmacy has brand-name ABILIFY in stock. If they do not, you can request it. If your pharmacy no longer stocks ABILIFY, ask your doctor to recommend another local pharmacy. Keep in mind, the savings card can only be used for brand-name ABILIFY.

Program Details

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 1-888-9-ABILIFY (1-888-922-45431-888-922-4543) 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 1-800-510-48361-800-510-4836

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.

Ask for brand-name ABILIFY

Keep in mind that the savings card can only be used for brand-name ABILIFY.
If you would like to stay on brand-name ABILIFY, ask your doctor to write you a brand-name prescription.

Pay as little as $5 a month for brand-name ABILIFY—that could be similar to the cost of a generic medication.*

Step 1: Talk With Your Doctor

If you and your doctor have decided to continue on ABILIFY, ask him or her to write DAW on your prescription.

Step 1: Talk With Your Doctor

If you and your doctor have decided to continue on ABILIFY, ask him or her to write DAW on your prescription.

"Dispense as Written" or equivalent language in your state. Pharmacy rules and local laws may apply.

IMPORTANT SAFETY INFORMATION AND INDICATIONS for ABILIFY® (aripiprazole)

IMPORTANT SAFETY INFORMATION:
Elderly people with psychosis related to dementia (for example, an inability to perform daily activities as a result of increased memory loss), treated with antipsychotic medicines including ABILIFY, are at an increased risk of death compared to placebo. ABILIFY is not approved for the treatment of people with dementia-related psychosis (see BOXED WARNING).

Antidepressant medicines may increase suicidal thoughts or behaviors in some children, teenagers, and young adults, especially within the first few months of treatment or when the dose is changed. Depression and other serious mental illnesses are themselves associated with an increase in the risk of suicide. Patients on antidepressants and their families or caregivers should watch for new or worsening depression symptoms, unusual changes in behavior, or thoughts of suicide. Such symptoms should be reported to the patient’s healthcare provider right away, especially if they are severe or occur suddenly. ABILIFY is not approved for use in pediatric patients with depression (see BOXED WARNING).

Contraindication: Do not take ABILIFY if you are allergic to aripiprazole or any of the ingredients in ABILIFY. Allergic reactions have ranged from rash, hives, and itching to anaphylaxis, which may include difficulty breathing, tightness in the chest, and swelling of the mouth, face, lips, or tongue.

ABILIFY may cause serious side effects, including:

  • Stroke in elderly people (cerebrovascular problems) that can lead to death
  • Neuroleptic malignant syndrome (NMS). Tell your healthcare provider right away if you have some or all of the following symptoms: high fever, stiff muscles, confusion, sweating, changes in pulse, heart rate, and blood pressure. These may be symptoms of a rare and serious condition that can lead to death. Call your healthcare provider right away if you have any of these symptoms.
  • Uncontrolled body movements (tardive dyskinesia). ABILIFY may cause movements that you cannot control in your face, tongue, or other body parts. Tardive dyskinesia may not go away, even if you stop receiving ABILIFY. Tardive dyskinesia may also start after you stop receiving ABILIFY.
  • Problems with your metabolism such as:
    • High blood sugar (hyperglycemia) and diabetes. Increases in blood sugar can happen in some people who take ABILIFY. Extremely high blood sugar can lead to coma or death. If you have diabetes or risk factors for diabetes (such as being overweight or a family history of diabetes), your healthcare provider should check your blood sugar before you start ABILIFY and during your treatment.
      Call your healthcare provider if you have any of these symptoms of high blood sugar while receiving ABILIFY:
      • feel very thirsty
      • need to urinate more than usual
      • feel very hungry
      • feel weak or tired
      • feel sick to your stomach
      • feel confused, or your breath smells fruity
    • Increased fat levels (cholesterol and triglycerides) in your blood.
    • Weight gain. You and your healthcare provider should check your weight regularly.
  • Unusual urges. Some people taking ABILIFY have had unusual urges, such as gambling, binge eating or eating that you cannot control (compulsive), compulsive shopping and sexual urges.
    If you or your family members notice that you are having unusual urges or behaviors, talk to your healthcare provider.
  • Orthostatic hypotension (decreased blood pressure). Lightheadedness or fainting may happen when rising too quickly from a sitting or lying position.
  • Low white blood cell count
  • Seizures (convulsions)
  • Problems with control of your body temperature especially when you exercise a lot or are in an area that is very hot. It is important for you to drink water to avoid dehydration. Avoid getting over-heated or dehydrated. Do not over-exercise. In hot weather, stay inside in a cool place if possible. Stay out of the sun. Do not wear too much or heavy clothing. Drink plenty of water.
  • Difficulty swallowing that can cause food or liquid to get into your lungs.

Do not drive, operate heavy machinery, or do other dangerous activities until you know how ABILIFY affects you. ABILIFY may make you drowsy.

While taking ABILIFY, avoid drinking alcohol.

Before taking ABILIFY, tell your healthcare provider about all your medical conditions, including if you have or had:

  • diabetes or high blood sugar in you or your family; your healthcare provider should check your blood sugar before you start ABILIFY and also during therapy.
  • seizures (convulsions).
  • low or high blood pressure.
  • heart problems or stroke.
  • pregnancy or plans to become pregnant. It is not known if ABILIFY will harm your unborn baby.
  • breast-feeding or plans to breast-feed. ABILIFY can pass into your breast milk and may harm your baby. Talk to your healthcare provider about the best way to feed your baby if you receive ABILIFY.
  • low white blood cell count.
  • phenylketonuria. ABILIFY DISCMELT® Orally Disintegrating Tablets contain phenylalanine.

For patients who must limit their sugar intake, ABILIFY Oral Solution contains sugar.

Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
ABILIFY and other medicines may affect each other causing possible serious side effects. ABILIFY may affect the way other medicines work, and other medicines may affect how ABILIFY works. Do not start or stop any medicines while taking ABILIFY without talking to your healthcare provider first.

The most common side effects of ABILIFY in adults include: nausea, vomiting, constipation, headache, blurred vision, upper respiratory illness, dizziness, anxiety, insomnia, restlessness, and inner sense of restlessness or need to move (akathisia).

The most common side effects of ABILIFY in children include: feeling sleepy, headache, vomiting, fatigue, increased or decreased appetite, increased saliva or drooling, insomnia, nausea, stuffy nose, weight gain, uncontrolled movement such as restlessness or tremor, and muscle stiffness.

It is important to contact your healthcare provider if you experience prolonged, abnormal muscle spasms or contractions, which may be signs of a condition called dystonia.

These are not all of the possible side effects of ABILIFY.

Call your doctor for medical advice about side effects.

If you have any questions about your health or medicines, talk to your healthcare provider.

You are encouraged to report side effects of ABILIFY. Please contact Otsuka America Pharmaceutical, Inc. at 1-800-438-9927 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.


INDICATIONS: ABILIFY is indicated for:
  • Treatment of Schizophrenia in adults and in adolescents 13 to 17 years of age
  • Treatment of manic or mixed episodes associated with Bipolar I Disorder in adults and in pediatric patients 10 to 17 years of age
  • Use as an add-on treatment to an antidepressant for adults with Major Depressive Disorder who have had an inadequate response to antidepressant therapy
  • Treatment of irritability associated with Autistic Disorder in pediatric patients 6 to 17 years of age
  • Treatment of Tourette’s Disorder in pediatric patients 6 to 18 years of age

Special Considerations for Pediatric Uses:

  • Discuss the risks and benefits of treatment with your child’s healthcare provider. Treatment should be started only after a thorough diagnostic evaluation and as part of a total treatment program

Please see FULL PRESCRIBING INFORMATION, including BOXED WARNING, and Medication Guide for ABILIFY.

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I agree that I have a prescription for ABILIFY (aripiprazole), commercial insurance, and am between the ages of 18 and 64. Conditions apply.

After you download the card, sign up for the ABILIFY Savings Card Program.

 

Step 1: Ask your doctor to
write DAW* when prescribing ABILIFY (aripiprazole) .

*"Dispense as Written" or equivalent language in your state. Pharmacy rules and local laws may apply.

Please see U.S. FULL PRESCRIBING INFORMATION, including BOXED WARNING, and Medication Guide for ABILIFY.