Skip to main content

Caplyta savings card: Do I qualify and how much can I save?

Medically reviewed by Kristianne Hannemann, PharmD. Last updated on Aug 29, 2025.

Official Answer by Drugs.com

The Caplyta Savings Card helps eligible patients save on their Caplyta prescription. To qualify, you must:

The savings card cannot be used with Medicaid, Medicare, TRICARE, or other federal or state health programs.

How Much Can You Save?

If you qualify, you may pay as little as $0 for the first two fills of a 30-day supply of Caplyta, up to the maximum lifetime benefit which is based on the current list price of a 30-day supply. After that, you pay $15 for fills up to a 90-day supply (maximum benefit $600).

To get your Caplyta Savings Card, visit the Intra‑Cellular Therapies website or call 1-800-639-4047.

How to Use the Caplyta Savings Card

Once you have downloaded your Caplyta Savings Card, give it to your pharmacy where you are having your prescription filled. They will also need your primary insurance information. The offer is only good at participating pharmacies, so make sure your pharmacy will accept the savings card.

The card cannot be redeemed for cash, but it will lower your co-pay if you qualify.

Is Caplyta Covered by Insurance?

According to the manufacturer, Intra-Cellular Therapies:

To check coverage under your specific plan, contact your prescription benefit provider.

How Much Does Caplyta Cost Without Insurance?

Caplyta is available only as a brand-name medication, with no generic version currently available.

A 30-day supply of Caplyta costs around $1,678 as of August 2025. This is based on the Drugs.com Caplyta price guide, and the amount you pay can vary depending on the pharmacy you visit.

There are many treatment options available for schizophrenia and bipolar disorder. Talk with your healthcare provider about affordable options for you.

Medicare Extra Help Program for Caplyta Cost Reduction

For Medicare beneficiaries struggling with Caplyta cost with insurance, the Medicare Extra Help program (also known as Low-Income Subsidy) can significantly reduce prescription costs. This federal program assists qualifying individuals with Medicare Part D prescription expenses.

Related questions

Eligibility Requirements for 2025

To qualify for Medicare Extra Help in 2025, beneficiaries must meet specific income and resource limits.

Income Limits:

Resource Limits:

What Counts as Resources

Medicare counts certain assets toward the resource limit, including savings accounts, stocks, bonds, and real estate other than your primary home. However, your home, car, and personal belongings are excluded from this calculation.

Cost Benefits for Caplyta Users

Qualified participants receive substantial savings on Caplyta price:

Prior Authorization and Step Therapy Requirements

Many insurance plans require prior authorization or step therapy protocols before approving Caplyta coverage. For example, your insurance plan may require that you try different medications before they will approve Caplyta. Contact your plan to find out if Caplyta requires a prior authorization and the steps required to get it covered.

What is Caplyta Used For?

Caplyta (lumateperone) is an atypical antipsychotic used to treat:

This is not all the information you need to know about Caplyta (lumateperone) for safe and effective use and does not take the place of your doctor’s directions. Review the full product information and discuss this information and any questions you have with your doctor or other health care provider.

References
  1. Caplyta [package insert]. Updated June 2023. Intra-Cellular Therapies, Inc. Accessed October 9, 2024 at https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=db730b06-6351-47fd-8183-e61e61bbead5
  2. Cost & Coverage. Intra-Cellular Therapies. Bedminster, NJ Accessed October 9, 2024 at https://www.caplyta.com/bipolar/cost-coverage
  3. Savings Offer. Intra-Cellular Therapies. Bedminster, NJ Accessed October 9, 2024 at https://www.caplyta.com/bipolar/savings-offer
  4. UnitedHealthcare. (n.d.). Step-Therapy-Caplyta. Retrieved August 29, 2025, from https://www.uhcprovider.com/content/dam/provider/docs/public/resources/pharmacy/step-therapy/Step-Therapy-Caplyta.pdf
  5. U.S. Centers for Medicare & Medicaid Services. (n.d.). Help with drug costs. Medicare.gov. https://www.medicare.gov/basics/costs/help/drug-costs

Read next

How long do venlafaxine withdrawal symptoms last?

Venlafaxine withdrawal symptoms typically last up to 3 to 4 weeks, but may persist even longer. You should avoid abruptly stopping venlafaxine treatment unless otherwise directed by your healthcare provider. Gradually reducing the dose over 4 weeks can help to prevent severe withdrawal symptoms in most people. Continue reading

Can you overdose on Seroquel?

Yes, it is possible to overdose on Seroquel (quetiapine). How much Seroquel you need to take to overdose is different from person to person. Taking too much Seroquel can lead to life-threatening side effects, such as slowed breathing, seizures, coma, abnormal heart rhythm, and death. Continue reading

Why should you take aripiprazole in the morning?

Aripiprazole is one of those medications that can cause sleepiness in some people and insomnia (an inability to get to sleep) in others. Aripiprazole should be preferably taken in the morning, especially if it keeps you awake at night. Research also suggests taking it at night may antagonize D2 dopamine receptors and disrupt 24h rhythms in insulin release, possibly exacerbating metabolic dysfunction. Continue reading

See also:

Related medical questions

Drug information

Related support groups