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Strength: Dosage form: Directions: Quantity: Refills: Diagnosis: Diagnosis code (required): Abilify oral to Abilify Maintena or from Zyprexa oral to Zyprexa
Abilify Maintena is available only with a doctor's prescription. There is no evidence that Abilify Maintena is addictive. Abilify Maintena should not be given
For patients who would typically receive ABILIFY MAINTENA (aripiprazole) injections at their prescriber's office, the ICD-10 Diagnosis Code: Zip Code: Dual
Transitioning from Abilify Maintena: Administer Abilify Asimtufii in place of Abilify Maintena Abilify Maintena (aripiprazole) [package insert]
Manufacturer: Abilify Maintena HCPCS: J0401 Effective Date: HCPCS Code Descriptor: Abilify Maintena NDCs: Primary Type: Generic/Specialty Status: Package
ABILIFY MAINTENA. ABILIFY MAINTENA PRICING. ASP
The Long-Acting Injectable Antipsychotics are listed sequentially by J-Code as follows: J0401 Aripiprazole (Abilify Maintena), extended release 1 mg. J0402 Aripiprazole (Abilify Asimtufii), 1 mg. J1631 Haloperidol decanoate, per 50 mg.
Abilify Maintena PBS Information: Authority required (STREAMLINED). Code: 4246 for schizophrenia. This product is not listed on the PBS for
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