Aristada Initio™ (aripiprazole laurozil)
No prior authorization required for Traditional, Optimized, or Medicare plans.
For Medicaid, this drug is considered a carve out. Please contact Fee For Service Medicaid for coverage.
No prior authorization required for:
- Emergency room
- Skilled nursing facility
Injectable auth/billing notes:
Medications billed with miscellaneous codes will be reviewed. Explanatory notes must accompany the claim.
Priority Health Medicare applies CMS local coverage determination criteria when available for Part B drugs.