{"id":629949,"date":"2024-10-01T15:12:53","date_gmt":"2024-10-01T19:12:53","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=629949"},"modified":"2026-01-13T17:37:55","modified_gmt":"2026-01-13T22:37:55","slug":"does-medicaid-cover-latuda","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-medicaid-cover-latuda\/","title":{"rendered":"Does Medicaid cover Latuda?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/latuda\"><span style=\"font-weight: 400;\">Latuda<\/span><\/a><span style=\"font-weight: 400;\"> is the brand name for lurasidone, a prescription medication that is used to treat a variety of mental health conditions. The Food and Drug Administration (FDA) approved Latuda to treat schizophrenia in people 13 years and older, as well as bipolar depression associated with bipolar I disorder in people 10 years and older. It can also be prescribed to treat depressive episodes in adults with bipolar I disorder who are also taking lithium or valproate. Latuda is expensive without insurance or coupons, but Medicaid may help. <\/span><\/p>\n<h2 id=\"how-much-does-latuda-cost\"><span style=\"font-weight: 400;\">How much does Latuda cost?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The average retail price of Latuda is $1,862 for 30, 40 mg tablets without insurance. The exact price you pay for Latuda without insurance will depend on your choice of pharmacy, the dosage you are on, and the quantity prescribed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Latuda is a brand-name drug, so it tends to be more costly than lurasidone, the generic version. Without insurance or coupons, the typical cash price for brand-name Latuda is $1,862 for 30, 40 mg tablets.<\/span><\/p>\n<h2 id=\"does-medicaid-cover-latuda\"><span style=\"font-weight: 400;\">Does Medicaid cover Latuda?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Medicaid <\/span><a href=\"https:\/\/www.medicaid.gov\/medicaid\/prescription-drugs\/index.html\"><span style=\"font-weight: 400;\">covers outpatient prescription drugs<\/span><\/a><span style=\"font-weight: 400;\"> like Latuda and lurasidone. But that doesn\u2019t mean it will automatically pay for every medication your healthcare provider prescribes. It ultimately depends on whether the drug is on your state Medicaid plan\u2019s formulary. If it is, you may pay nothing for Latuda, or you may pay just a few dollars, depending on the level of Medicaid assistance you receive.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/is-latuda-covered-by-medicare\/\"><b>Is Latuda covered by Medicare?<\/b><\/a><\/p>\n<h2 id=\"what-to-do-if-medicaid-doesn-t-cover-latuda\"><span style=\"font-weight: 400;\">What to do if Medicaid doesn\u2019t cover Latuda<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If your Medicaid plan doesn\u2019t cover Latuda, you have options. For example, your Medicaid agency may require you to prove that you need Latuda instead of a lower-cost alternative. If so, your healthcare provider may have to prove that Latuda is medically necessary. They\u2019ll do this through a process called prior authorization. Or, they may require you to try other lower-cost medications first to see if they work, a process called step therapy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Alternatively, your healthcare provider may prescribe <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/latuda-generic\/\"><span style=\"font-weight: 400;\">generic lurasidone<\/span><\/a><span style=\"font-weight: 400;\"> if Medicaid doesn\u2019t cover Latuda, since lurasidone is less of a financial burden. They may also consider <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/latuda-alternatives\/\"><span style=\"font-weight: 400;\">Latuda alternatives<\/span><\/a><span style=\"font-weight: 400;\"> such as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/latuda-vs-abilify\/\"><span style=\"font-weight: 400;\">Abilify<\/span><\/a><span style=\"font-weight: 400;\"> (aripiprazole) or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/risperdal\"><span style=\"font-weight: 400;\">Risperdal<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/latuda-vs-risperidone\/\"><span style=\"font-weight: 400;\">risperidone<\/span><\/a><span style=\"font-weight: 400;\">), according to <\/span><a href=\"https:\/\/www.dyu.edu\/directory\/talisa-marchese\"><span style=\"font-weight: 400;\">Talisa M. Marchese<\/span><\/a><span style=\"font-weight: 400;\">, Pharm.D., BCPS, BCPP, a clinical assistant professor in the Department of Pharmacy Practice at D\u2019Youville University School of Pharmacy in Buffalo, New York.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAll patients respond differently to these medications,\u201d Dr. Marchese says. \u201cIf one is not effective, then another may work well for a patient. There are different side effect profiles for all medicines. If one causes side effects, another may not.\u201d<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/vraylar-vs-latuda\/\"><b>Vraylar vs. Latuda<\/b><\/a><\/p>\n<h2 id=\"how-to-save-on-latuda\"><span style=\"font-weight: 400;\">How to save on Latuda<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">You may be able to save on Latuda with a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare prescription discount card<\/span><\/a><span style=\"font-weight: 400;\">. The card is free and provides digital access to coupons you can use at pharmacies across the country. With a SingleCare <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/latuda\"><span style=\"font-weight: 400;\">Latuda coupon<\/span><\/a><span style=\"font-weight: 400;\">, you could pay $1,431 instead of $1,862 for 30, 40 mg tablets of brand-name Latuda. If you opt for generic lurasidone, though, you could pay just $22 instead of $1,669 for 30, 40 mg tablets.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Regardless of Medicaid coverage, talk to your healthcare provider about all of your options before weighing the benefits of taking brand-name Latuda versus taking generic lurasidone or another Latuda alternative.<\/span><\/p>\n<p><small><i><span style=\"font-weight: 400;\">The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of Jan. 13, 2026. Prices vary by pharmacy. Visit our <\/span><\/i><a href=\"https:\/\/www.singlecare.com\/prescription\/latuda\"><i><span style=\"font-weight: 400;\">Latuda coupon page<\/span><\/i><\/a><i><span style=\"font-weight: 400;\"> for updated Latuda prices near you.<\/span><\/i><small><\/small><\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Latuda is the brand name for lurasidone, a prescription medication that is used to treat a variety of mental health conditions. The Food and Drug Administration (FDA) approved Latuda to treat schizophrenia in people 13 years and older, as well as bipolar depression associated with bipolar I disorder in people 10 years and older. It [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":634038,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[4343,16],"coauthors":[21058],"class_list":["post-629949","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-brand-name-drugs","tag-medicaid","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Does Medicaid cover Latuda?<\/title>\n<meta name=\"description\" content=\"Medicaid may cover Latuda or its generic version, lurasidone, but coverage varies by state and you may need to prove it is medically necessary.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/does-medicaid-cover-latuda\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Does Medicaid cover Latuda?\" \/>\n<meta property=\"og:description\" content=\"Medicaid may cover Latuda or its generic version, lurasidone, but coverage varies by state and you may need to prove it is medically necessary.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/does-medicaid-cover-latuda\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2024-10-01T19:12:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-13T22:37:55+00:00\" \/>\n<meta property=\"og:image\" 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