Rexulti (brexpiprazole) is a brand-name prescription medication. The Food and Drug Administration (FDA) has approved it to treat:
- major depressive disorder (commonly called depression) in adults*
- schizophrenia in adults and children ages 13 years and older
For more information about Rexulti’s uses, refer to this article.
Here are some details about Rexulti:
- Drug form: oral tablet
- Generic version: none available
Read on to learn about Rexulti and cost, as well as how to save money on prescriptions.
* For this use, Rexulti is taken in combination with an antidepressant medication.
As with all medications, the cost of Rexulti can vary. Factors that may affect the price you’ll pay include:
- your treatment plan
- your insurance coverage
- the pharmacy you use
- whether Rexulti has a savings program (see the “Financial and insurance assistance” section below)
To find out what the cost of Rexulti will be for you, talk with your doctor, pharmacist, or insurance provider.
Note: If you have insurance, your insurance company may require prior authorization before it covers Rexulti. This means the company and your doctor will discuss Rexulti in regard to your treatment. The insurance company will then determine whether the medication is covered. If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Rexulti requires prior authorization.
Here are answers to some frequently asked questions about drug cost and Rexulti.
How much does Rexulti cost with insurance versus without insurance?
The cost of Rexulti with insurance versus without insurance depends on your individual situation. For example, your cost may depend on the strength of Rexulti you’re prescribed for your condition. Rexulti tablets are available in strengths of 0.25 milligrams (mg), 0.5 mg, 1 mg, 2 mg, 3 mg, and 4 mg.
The cost per month for Rexulti with insurance could also depend on your plan. For example, you may have a copay (a fixed amount you pay) for the medication. Or you may have to pay a percentage of the cost of the medication.
Typically, the cost of a medication is higher without insurance than with insurance.
Other factors that may affect your cost include:
- the pharmacy you choose
- whether you get a 30-day or 90-day supply of Rexulti
- your dosage of the drug
- eligibility for cost saving programs
To learn more about your cost for Rexulti, ask your insurance provider, pharmacist, or doctor for more information.
Does Rexulti have a copay card?
No. The manufacturer doesn’t have a copay card. But it does offer a savings card that may provide some copay assistance if you have private insurance coverage.
If you have Medicare Part D prescription insurance with a high deductible, note that there’s no separate high deductible savings card for Rexulti. You can contact your Medicare plan provider to learn what your cost for Rexulti will be.
If you don’t have insurance coverage, you may still be able to save on the cost of Rexulti. The manufacturer of Rexulti has a patient assistance program you might be eligible for. You can visit the program website to learn more.
For more information on cost savings options that may be available, see the “Financial and insurance assistance” section below.
Rexulti is only available as a brand-name drug. It doesn’t come in a generic version. A generic drug is an exact copy of the active drug in a brand-name medication.
Generics tend to cost less than brand-name drugs.
WHY ARE COSTS DIFFERENT FOR BRAND-NAME DRUGS VS. GENERIC DRUGS?
Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years.
When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.
If you take Rexulti long term, you may be able to lower its cost in the following ways.
Getting a 3-month supply
You may be able to get a 90-day supply of Rexulti. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of trips to the pharmacy and help lower the cost. If you’re interested in this option, check with your doctor, pharmacist, or insurance provider.
Using a mail-order pharmacy
Rexulti may be available through a mail-order pharmacy. Using this type of service may help lower the drug’s cost and allow you to receive your medication without leaving home. Some Medicare plans may help cover the cost of mail-order medications. You may also be able to get a 90-day supply of the drug via mail order.
If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.
If you need financial support to pay for Rexulti, or if you need help understanding your insurance coverage, help is available. For example:
- A program called Rexulti Savings Card is available for Rexulti. For more information and to find out if you’re eligible, call 844-415-0674 or visit the program website.
- If you don’t have insurance, you may be able to save on your prescription through the Otsuka Patient Assistance Foundation.
- Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:
To learn more about saving money on prescriptions with or without insurance, check out this article.
Now that you’ve learned about cost and Rexulti, you may still have some questions. Talk with your doctor or pharmacist, who can provide personalized guidance about cost issues related to Rexulti. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Rexulti.
Here are some other resources you may find helpful:
- Medicare drug coverage. To learn about Medicare coverage for drugs, see these articles about Medicare Prescription Drug Plans, drug coupons and Medicare, and the Medicare drug list.
- More details. For details about other aspects of Rexulti, refer to this article.
- Dosage. Learn about Rexulti and dosage by viewing this article.
- Side effects. For details about Rexulti’s side effects, see this article. You can also look at the Rexulti prescribing information.
- Information about depression and schizophrenia. For more information about depression and schizophrenia, see our depression hub and list of schizophrenia articles.
Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.