Savings Offer & Cost
Learn how you might be able to save on CAPLYTA.
If you're eligible, there are two ways you can claim your copay savings card
Download an electronic card to your phone
To get your copay card, text "CAPLYTA" to 26789 and follow the instructions. Please see full Terms and Conditions and Eligibility Criteria below
Show your card to your pharmacist and receive your savings plus refill reminders
Download and print your savings card
Download and print your savings card. Then, simply bring it to your pharmacy, show it to the pharmacist—and start saving on your CAPLYTA prescriptionsDownload my savings card
Message & Data Rates may apply. Message frequency varies. Terms & Conditions apply: www.engagedrx.com/CAP. Once enrolled, text HELP for help. Text STOP to end.
This offer is valid for eligible new or existing patients who are filling a prescription for CAPLYTATM. 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 CAPLYTATM for a Food & Drug Administration approved indication. This Copay program is valid ONLY for patients with 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. ITCI reserves the right to rescind, revoke or amend the Program without notice at any time. Additional eligibility criteria apply.
PROGRAM TERMS, CONDITIONS, AND ELIGIBILITY CRITERIA:
This offer is valid for eligible new or existing patients who are filling a prescription for CAPLYTA. To be eligible for this offer patients must be 18 years of age or older and less than 65 years old, residents of the United States, excluding Puerto Rico, and have a valid prescription for CAPLYTA. Offer not valid for prescriptions reimbursed under Medicaid, a Medicare drug benefit plan, TRICARE, or other federal or state health programs (such as medical assistance programs). This offer is not valid for cash paying patients. This offer is not insurance, has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer. This offer is good only at participating retail pharmacies. This card may not be redeemed for cash. Void if prohibited by law, taxed, or restricted. Eligible patients may pay as little as $0 per 30-day supply on the first fill, up to the maximum lifetime benefit based on current list price. On subsequent uses, patients may pay as little as $15, up to the maximum benefit of $600. Program benefit calculated on FDA-approved dosing. A valid Prescriber ID# is required on the prescription. By consenting to participate in this offer, you acknowledge and agree to data related to the redemption of this copay card being collected, analyzed, and shared with Intra-Cellular Therapies for market research and/or other purposes related to assessing the CAPLYTA Copay program.
This program is valid through 04/30/2021.
Patients with questions about the CAPLYTA Savings Card should call 1-800-639-4047.
Pharmacist: When you apply this offer, you are certifying that you have not submitted a claim for reimbursement under any federal, state, or other governmental programs for this prescription. This offer is not valid for cash paying patients. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider. By participating in this program, you are certifying that you will comply with the Terms and Conditions described in the Restrictions section below.
Pharmacist instructions for a patient with an Eligible Third Party: Submit the claim to the primary Third Party Payer first, then submit the balance due to Change Healthcare as a Secondary Payer as a copay-only billing using a valid Other Coverage Code, (e.g. 03 or 08). Eligible patients may pay as little as $0 per 30-day supply on the first use, up to the maximum lifetime benefit based on current list price. On subsequent uses, patients may pay as little as $15, up to the maximum benefit of $600. Reimbursement will be received from Change Healthcare.
For any questions regarding Change Healthcare online processing, please call the Help Desk at 1-800-422-5604.
Restrictions: This offer is valid in the United States, excluding Puerto Rico. Offer not valid for prescriptions reimbursed under Medicaid, a Medicare drug benefit plan, TRICARE, or other federal or state health programs (such as medical assistance programs). This offer is not valid for cash paying patients. Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. If the patient is eligible for drug benefits under any such program, the patient cannot use this offer. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payer of the existence and/or value of this offer. It is illegal to (or offer to) sell, purchase, or trade this offer. Program expires 04/30/2021. This offer is not transferable and is limited to one offer per person. Not valid if reproduced.
Void where prohibited by law. Program managed by ConnectiveRx on behalf of Intra-Cellular Therapies, Inc.
Intra-Cellular Therapies, Inc. reserves the right to rescind, revoke, or amend this offer without notice at any time.
Medicare's Extra Help Program
Low-income subsidy (LIS) patients can get help with prescription costs through Medicare Part D. This program is known as Extra Help.
You may automatically have Extra Help if you are:
Signed up for both Medicare and Medicaid, OR
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 per CAPLYTA 42 mg capsule is $44.00*
*Source: AnalySource® 04/09/2020 as reprinted with permission by First Databank, Inc. All rights reserved. ©2020