Resources & Support

Coverage & support

CAPLYTA has broad formulary coverage

Commercial Insurance only:

  • Unrestricted access on the two largest PBMs – CVS Caremark & Express Scripts National Formulary
  • Covered for ~90% of Commercial Patients
  • 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. Please see eligibility Criteria and Terms & Conditions.

Medicare Part D/Medicaid:

  • Covered for >98% of Patients

Source: Data on File.

Medicare Part D/low-income subsidy patients9,10

See how the Medicare Extra Help Program can assist Medicare Part D/low-income subsidy patients with prescription costs.

  • Medicare Part D patients are automatically enrolled in Extra Help if they are:
    • Dual eligible: receive both Medicare and Medicaid, or are older than 65 years and on Medicaid
    • Receiving Supplemental Security Income
    • Members of a Medicare Savings Program
  • Patients who are enrolled in Extra Help pay a maximum of $11.20 for brand name prescriptions.11
    • Medicare beneficiaries receiving LIS get assistance in paying for their Part D monthly premium, annual deductible, coinsurance, and copayments. Also, individuals enrolled in the Extra Help program do not have a gap in prescription drug coverage, also known as the coverage gap, or the Medicare “donut hole”9

277 million Americans (or 93% of American lives) have access to CAPLYTA across all payer channels

Prior Authorization support

You can visit to initiate the Prior Authorization process for both commercially and government-insured patients. Generally, ~8 out of 10 Prior Authorization submissions for CAPLYTA are approved.

Mon - Fri 8:00am - 11:00pm ET

Sat 8:00am - 6:00pm ET

CAPLYTA® (lumateperone) pharmacy call back guide

Pharmacy call back guide

Download a guide to help you and your office staff handle pharmacy rejections so your patients can access CAPLYTA.

CAPLYTA® (lumateperone) prior authorization submission guide

Prior Authorization submission information

Download a helpful guide to use when filling out and submitting Prior Authorizations for CAPLYTA for your patients.

*This offer is valid for eligible new or existing patients who are filling a prescription for CAPLYTA. Eligible patients must be 18 years of age or older, residents of the U.S., excluding Puerto Rico and have a valid prescription for CAPLYTA for a Food & Drug Administration approved indication. This Savings 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 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.

Cost & savings

Eligible* patients may pay as little as $0 for their first two fills up to a 30-day supply, and $15 for subsequent fills of CAPLYTA up to a 90-day supply.

Download or text to access the Savings Card:

Download the card and provide it to your eligible* patients.

Are you a licensed prescriber in the state of Vermont?


Eligible* patients can text "CAPLYTA" to 26789 to receive the Savings eCard on their phones through the CAPLYTA text message program.Download a digital Savings Card to your phone and receive useful text messages about your prescription.Get text messages right to your phone. Get alerts on how much you're saving, refill reminders, and the status of your insurance coverage. Plus, you'll have the option to order refills via text. Patients can opt out of this program at any time.

Message & Data Rates may apply. Message frequency varies. Terms & Conditions apply: Once enrolled, text HELP for help. Text STOP to end.


CAPLYTA samples for your patients

Order samples online


Or call this toll-free number to order samples or request a representative

Call this toll-free number to order samples or request a representative


Helpful resources for CAPLYTA

Telemedicine resources

Find resources that may be useful for you and your patients during telemedicine visits.

Get resources
CAPLYTA® (lumateperone) patient brochure

Patient brochure

Learn how CAPLYTA may help your patients.

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Intra-Cellular Therapies, Inc. is committed to supporting you and your patients.