CommercialPrior AuthMedium impact
Vraylar (cariprazine)
Blue Cross & Blue Shield of Mississippi·MS · Psychiatry, Family Medicine, Internal Medicine +1 more·Medical Policy
Effective date
Feb 24, 2026
We identified it
Jun 20, 2026
Summary
BCBS Mississippi updated their Vraylar (cariprazine) policy with revised age requirements for different indications and updated quantity limits including a new 1.5mg-3mg pack option. Prior authorization remains required with specific criteria for initial approval and renewals.
Action Required
By February 24, 2026: Billing team must update prior authorization requests for Vraylar to reflect new age requirements: 13+ for schizophrenia, 10+ for bipolar manic/mixed episodes, 18+ for bipolar depression. Update quantity limit tracking to include new 1.5mg-3mg pack (7 caps per 180 days). Ensure all prior auth requests document required criteria including failure of two generic second-generation antipsychotics or documented contraindications.