VRAYLAR (cariprazine): Online prescriptions for bipolar and schizophrenia
VRAYLAR (cariprazine) is an atypical antipsychotic medication that treats bipolar I disorder, schizophrenia, and major depressive disorder as an add-on treatment. Licensed psychiatric providers at Talkspace can evaluate your symptoms over video and issue an online VRAYLAR prescription if appropriate, filled locally or through Amazon Pharmacy for fast home delivery.
An initial evaluation by a Talkspace psychiatric provider is required before medication is prescribed. If appropriate, medication will be prescribed for home delivery or for pickup at your local pharmacy. Medication prices are not included in the evaluation price. Talkspace psychiatric providers are unable to prescribe controlled substances and stimulants.
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Here’s how it works
Schedule a video assessment
Answer a few questions online, then meet virtually with a psychiatric provider within a week. Appointments covered by insurance are available for members 18 and older.
Get a diagnosis and prescription
During the appointment, your Talkspace provider will listen to and evaluate your symptoms and, if appropriate, prescribe medication. Build a plan together that feels right.
Begin treatment
Your prescription will be sent to your pharmacy, and you'll have follow-up appointments with the same psychiatric provider.
What is VRAYLAR (cariprazine) used for?
VRAYLAR (and its generic form, cariprazine) is FDA-approved to treat several mental health conditions, with specific age approvals depending on the diagnosis.
It’s primarily used for:
- Bipolar I disorder: Treats manic and mixed episodes in adults and children ages 10 and older, and depressive episodes in adults
- Schizophrenia: Reduces symptoms like hallucinations and disorganized thinking in adults and adolescents ages 13 and older
- Major depressive disorder (MDD): Used as an add-on treatment in adults when antidepressants alone aren’t enough
By targeting the root causes of mood and thought disruptions, VRAYLAR helps support greater emotional stability and improved daily functioning. VRAYLAR is not typically prescribed for off-label use without guidance from a licensed psychiatric provider.
Who shouldn't take VRAYLAR?
VRAYLAR isn't recommended for people who:
- Have a known hypersensitivity to cariprazine
- Are elderly patients with dementia-related psychosis (carries an increased risk of death in this population)
What are the side effects of VRAYLAR (cariprazine)?
Common side effects of VRAYLAR may include:
- Restlessness or inability to sit still (akathisia)
- Nausea
- Insomnia
- Dizziness
- Tremors
- Increased cholesterol or blood sugar
- Weight gain
Your provider should review the risks and benefits before you start treatment. More serious side effects, such as muscle stiffness, high fever, or uncontrolled movements, require immediate medical attention. Some movement-related side effects may appear weeks or even months after starting treatment. You may experience side effects when you first begin taking VRAYLAR that lessen or dissipate once you’ve been taking it for several weeks or months. Treatment results may vary by individual.
Meet the Talkspace licensed providers
Our network of therapists and psychiatric providers have specialization in 150+ conditions, treatment approaches, and mental health needs.
Elizabeth Keohan, LCSW-C
Jill Daino, LCSW-R
Nikole Benders-Hadi, MD, CMO
Medications we prescribe online
Talkspace psychiatric providers diagnose and treat a wide variety of mental health conditions, including anxiety, depression, ADHD, and others. For some people, their treatment involves medication. Your provider can prescribe you medication if appropriate for your treatment.
Note: Talkspace does not prescribe controlled substances.
What real members are saying
“It has helped me find the best professional therapy and psychiatry to assist with my mental health issues. It works around my schedule and is very convenient.”
Marlena, Trustpilot
“My care team at Talkspace has been instrumental in my mental health journey. I have a therapist for weekly visits and a psychiatrist for medication management. They have both been incredible and have helped me so much in my journey.”
Tiffanie, Trustpilot
“I found a great therapist on Talkspace and she's noticed that I might be needing some help from a psychiatrist, so she placed a referral. I was able to see a psychiatric ARNP via video visit the next day! I'm definitely on my way to feeling better.
J Stewart, Trustpilot
“This is the best I've felt in decades, I was living my life on the edge all those years. I'm so thankful for Talkspace, my psychiatrist and my therapist. Life is finally coming together.”
Ebony, Trustpilot
Any questions?
Find trust-worthy answers on all things mental health at Talkspace.
Do you need a prescription for VRAYLAR (cariprazine)?
Yes, VRAYLAR is a prescription-only medication that must be prescribed by a licensed healthcare provider after a mental health evaluation. Your provider will determine if VRAYLAR is appropriate based on your symptoms, diagnosis, and medical history.
What is VRAYLAR (cariprazine)?
VRAYLAR is an atypical antipsychotic medication used to treat serious mental health conditions. It works by regulating dopamine and serotonin levels in the brain—chemicals that play a key role in regulating mood, thinking, and behavior. With the right treatment plan, VRAYLAR can help bring more stability and clarity to everyday life.
Can I get VRAYLAR (cariprazine) online?
Yes, you can get a VRAYLAR prescription online through Talkspace by meeting with a licensed psychiatric provider via video consultation. If clinically appropriate, your provider may prescribe VRAYLAR after evaluating your symptoms and medical history.
Can I get VRAYLAR (cariprazine) over the counter?
No, VRAYLAR is not available over the counter and must be prescribed by a licensed healthcare provider. This helps ensure VRAYLAR is used in a safe and appropriate manner based on your individual mental health needs.
What is VRAYLAR (cariprazine) used to treat?
VRAYLAR is an FDA-approved medication used to treat bipolar I disorder, schizophrenia, and major depressive disorder (as an add-on treatment). It works by regulating brain chemicals that affect mood, thinking, and behavior.
Can I get a new prescription or prescription refill for VRAYLAR from Talkspace?
Yes, Talkspace psychiatric providers can prescribe VRAYLAR online and offer prescription refills as part of an ongoing treatment plan, if clinically appropriate. Your provider will first have a video appointment to assess your symptoms and condition, prescribe medication if appropriate, and then monitor your progress and adjust your medication as needed.
Can I use my health insurance for online VRAYLAR (cariprazine) prescriptions and refills?
Yes, many major insurance plans cover online psychiatry services, including VRAYLAR prescriptions and refills prescribed by Talkspace psychiatric providers. Talkspace itself does not fulfill medication prescriptions; your provider will send a prescription order to your pharmacy of choice. Coverage varies by provider, so it’s best to confirm your specific benefits with your insurance plan.
How much does VRAYLAR (cariprazine) cost?
The cost of VRAYLAR (cariprazine) depends on dosage, pharmacy, and insurance coverage, with a typical 30-day supply ranging from $1,400 to $1,600 without insurance. Your out-of-pocket cost may be significantly lower with insurance or savings programs.
Why is VRAYLAR so expensive?
VRAYLAR may be expensive because it's a patented, branded medication with no generic alternative. It's active ingredient, cariprazine, is patented at this time. Its high cost reflects the investment in research and development, regulatory approval, marketing, and distribution, while limited competition in the specialty psychiatric medication market keeps prices elevated.
How do you take VRAYLAR (cariprazine)?
VRAYLAR is taken once daily, with or without food, as prescribed by your healthcare provider. Your dose may be adjusted over time based on your response, so it’s important to follow directions and not stop VRAYLAR without medical guidance.
Disclaimer
Talk to your psychiatrist or healthcare professional about the possible risks and benefits associated with the above medications before starting treatment. It’s up to your psychiatric clinician’s professional judgment whether medication is prescribed. If you are in a life threatening situation – don’t use this site. Call +1 (800) 273-8255 or use these resources to get immediate help.
