Cost & Coverage
CAPLYTA is covered by many types of insurance
For those with Commercial Insurance:
- CAPLYTA is covered for more than 80% of people with Commercial Insurance
- Eligible* patients may pay as little as $0 for their first two fills, up to a 30‑day supply, and $15 for subsequent fills up to a 90‑day supply with their CAPLYTA Savings Card
For those with Medicaid and Medicare Part D:
- CAPLYTA is covered for more than 98% of people
*This offer is valid for eligible new or existing patients who are filling a prescription for CAPLYTA. Eligible patients must be at least 18 years old and less than 65 years old, residents of the U.S., excluding Puerto Rico and have a valid prescription for CAPLYTA for a Food & Drug Administration approved indication. This Copay program is valid ONLY for patients with private commercial insurance and NOT valid for prescriptions reimbursed under Medicaid, a Medicare drug benefit plan, TRICARE®, or other federal or state health programs. Offer is not valid for cash paying patients and is only good at participating retail pharmacies. Offer is not transferable, is not insurance, has no cash value, and may not be used in combination with other offers. Void if prohibited by law, taxed, or restricted.
All participants are responsible for reporting the receipt of all Program benefits as required by their insurance provider. No party may seek reimbursement for all or any of the benefit received through this Program. Intra-Cellular Therapies, Inc. reserves the right to rescind, revoke or amend the Program without notice at any time. Additional eligibility criteria apply. Click here for full Eligibility Criteria and Terms and Conditions.
See what most patients pay per month through the Extra Help program.
You may automatically have Extra Help if you are:
- Dual eligible
- Signed up for both Medicare and Medicaid
- Older than 65 and on Medicaid
- Getting Supplemental Security Income through the Social Security Administration
- A member of a Medicare Savings Program
Visit www.cms.gov/Medicare/Eligibility-and-Enrollment to see if you are eligible for Extra Help.
Wholesale Acquisition Cost (WAC), also known as list price, is established by Intra-Cellular Therapies, Inc. WAC may not reflect the price paid by patients or insurers. Patients with insurance may pay less than the WAC price.
The WAC price is $49.39 per CAPLYTA capsule and $1,481.75 per carton.†
†Source: AnalySource® 01/07/2022 as reprinted with permission by First Databank, Inc. All rights reserved. ©2022