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
  • Inpatient
  • 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.