Finding the Right Doctor for Rexulti

If you or someone you care about needs Rexulti (Brexpiprazole), the first step is finding a doctor who can prescribe it. Rexulti is a prescription-only atypical antipsychotic, which means you cannot buy it over the counter. You need a licensed healthcare provider to evaluate your condition and write a prescription.

This guide walks you through every step — from figuring out which type of doctor to see, to actually getting your prescription filled.

What Type of Doctor Prescribes Rexulti?

Rexulti is FDA-approved to treat major depressive disorder (as an add-on to antidepressants), schizophrenia, and agitation associated with Alzheimer's dementia. Because of these uses, several types of doctors may prescribe it:

• Psychiatrists — These are the most common prescribers of Rexulti. Psychiatrists specialize in mental health conditions including depression and schizophrenia.
• Primary care physicians (PCPs) — Your family doctor or internist can prescribe Rexulti, especially as an adjunct for depression. However, some PCPs prefer to refer patients to a psychiatrist for antipsychotic medications.
• Neurologists — For agitation related to Alzheimer's dementia, a neurologist may prescribe Rexulti.
• Geriatric specialists — Doctors who focus on elderly care may prescribe Rexulti for Alzheimer's-related agitation.
• Nurse practitioners (NPs) and physician assistants (PAs) — In many states, psychiatric NPs and PAs can prescribe Rexulti independently or under physician supervision.

In most cases, a psychiatrist is your best bet. They have the deepest expertise with medications like Rexulti and can manage dosing, titration, and any side effects that come up.

How to Find a Provider Near You

There are several ways to locate a doctor who can prescribe Rexulti in your area. Here are the most effective methods:

1. Use Your Insurance Provider Directory

If you have health insurance, start by searching your plan's online provider directory. This ensures the doctor you find is in-network, which will save you money on visits and lab work.

• Log into your insurance company's website or app
• Search for "psychiatrist" or "mental health" providers near your zip code
• Filter by those accepting new patients
• Call the office to confirm they prescribe Rexulti

2. Try Zocdoc or Similar Booking Platforms

Zocdoc, Healthgrades, and Psychology Today all let you search for psychiatrists by location, insurance, and availability. You can often book an appointment online in minutes.

• Zocdoc — Filter by specialty (psychiatry), insurance, and availability
• Psychology Today — Great for finding psychiatrists and psychiatric NPs
• Healthgrades — Includes patient reviews and ratings

3. Ask Your Primary Care Doctor for a Referral

If you already have a PCP, ask them for a referral to a psychiatrist. This is especially helpful if your insurance requires referrals for specialist visits. Your PCP may also be willing to prescribe Rexulti themselves if you already have an established mental health treatment plan.

4. Consider Telehealth

Telehealth has made it much easier to see a psychiatrist, especially if you live in a rural area or have trouble getting to in-person appointments. Several platforms offer psychiatric care online:

• Cerebral — Online psychiatry for depression and other conditions
• Talkiatry — In-network psychiatrists via video
• MDLive — On-demand psychiatric appointments
• Your insurance's telehealth option — Many plans now include virtual mental health visits

Telehealth psychiatrists can prescribe Rexulti just like in-person doctors. Just make sure the provider is licensed in your state.

5. Contact Otsuka Patient Support

Otsuka, the manufacturer of Rexulti, offers a patient support program that can help you find providers and navigate access. Call 1-833-468-7852 or visit otsukapatientsupport.com/rexulti.

What to Expect at Your Appointment

Once you find a doctor, here's what a typical first visit looks like:

• Medical history review — Your doctor will ask about your symptoms, past medications, and any other health conditions.
• Discussion of treatment options — If Rexulti is appropriate for your condition, your doctor will explain how it works, what to expect, and potential side effects.
• Baseline labs — Your doctor may order blood tests to check your blood sugar, cholesterol, and white blood cell count before starting Rexulti.
• Dosing plan — Rexulti is typically started at 0.5 mg daily and gradually increased over two weeks to a target dose of 2 mg daily. Your doctor will explain this titration schedule.
• Follow-up schedule — Expect to see your doctor within a few weeks of starting Rexulti to check how you're responding.

Bring a list of all medications and supplements you currently take. Rexulti has important drug interactions your doctor needs to know about.

After You Get Your Prescription

Once your doctor writes a prescription for Rexulti, you'll need to fill it at a pharmacy. Here are a few things to keep in mind:

Check Availability First

Rexulti can sometimes be difficult to find in stock. Before driving to a pharmacy, use a tool like Medfinder to check which pharmacies near you have it available.

Know the Cost

Rexulti's list price is about $1,516 per month without insurance. That's steep, but there are ways to bring the cost down significantly:

• Insurance — Most commercial plans cover Rexulti, though prior authorization may be required.
• Manufacturer savings card — Eligible commercially insured patients may pay as little as $0. Visit rexulti.com/savings-cost for details.
• Discount cards — GoodRx, SingleCare, and other discount programs can reduce the cash price.
• Patient assistance — Otsuka Patient Support helps uninsured and underinsured patients access Rexulti at low or no cost.

Ask About Generic Brexpiprazole

A generic version of Rexulti (Brexpiprazole) was approved by the FDA in August 2022. Ask your doctor or pharmacist if a generic version is available, as it can be significantly cheaper.

Final Thoughts

Finding a doctor who can prescribe Rexulti doesn't have to be complicated. Start with your insurance directory or a platform like Zocdoc, consider telehealth if access is limited in your area, and don't hesitate to ask your primary care doctor for help.

Once you have your prescription, use Medfinder to locate a pharmacy with Rexulti in stock near you — and explore savings options so the cost doesn't become a barrier to your treatment.