Ingrezza (valbenazine) prescription available online

If you are suffering from tardive dyskinesia (TD), Ingrezza can help. Get a new prescription or refill of Ingrezza from a board-certified doctor online.*

Book an appointment

Help treat adults with tardive dyskinesia

Available as a capsule

Reduce involuntary movements of the jaw, lips, and tongue

*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.

About Ingrezza 

Ingrezza is a vesicular monoamine transporter 2 (VMAT2) inhibitor, which works by changing certain natural substances in the brain.

Ingrezza is used to treat the side effects of antipsychotic or neuroleptic medications called tardive dyskinesia (TD)—a movement disorder that causes involuntary movements of the jaw, lips, and tongue. Ingrezza is available only by prescription. It is available in a generic formulation as well as under different brand names, including valbenazine.

Ingrezza may be prescribed as a capsule. It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage prescribed.

If you're prescribed Ingrezza, be sure to complete the full course of the VMAT2 inhibitor unless your doctor specifically tells you to stop. If you don’t complete your prescription, the VMAT2 inhibitor may not fully treat your tardive dyskinesia (TD).

Ingrezza uses

There is one FDA-approved use for Ingrezza, but it may also be used off-label to treat other conditions. Your healthcare professional may prescribe it for any of the following common reasons.

It’s also possible that healthcare professionals may prescribe it for other reasons not listed here. If you have questions about why a medication is prescribed, ask your online doctor or pharmacist.

  • Tardive dyskinesia (TD)

    Ingrezza is FDA-approved to treat adults with tardive dyskinesia, a movement disorder that causes uncontrolled movements of the jaw, lips, and tongue. Tardive dyskinesia is a rare side effect that may occur after long-term use of dopamine receptor-blocking agents, such as prescription drugs used to treat schizophrenia.

Ingrezza side effects

  • The side effects associated with taking Ingrezza are typically mild. Most Ingrezza side effects are associated with tiredness. Ingrezza has some common side effects. They may include:

    • Changes in balance and increased risk of falls

    • Headache

    • Feelings of restlessness


    Other side effects, which are less common but might be more severe, could include:

    • Parkinson-like symptoms, such as body stiffness or trouble moving

    • Fast or irregular heartbeat

    • Shortness of breath


    You should call your healthcare professionals if you notice any adverse effects, or if you develop any other new or concerning symptoms. It is not known whether Ingrezza treatment is safe and effective in children under age 18.

How to take Ingrezza

Your pharmacist will provide you with instructions on how to take your Ingrezza prescription. Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

Ingrezza can come in different forms and doses, so be sure to follow the specific instructions on your prescription. The typical starting dose for treating TD ranges from 40 mg to 80 mg once daily.

Missing doses of Ingrezza may increase your risk for symptom relapse. Do not discontinue Ingrezza without talking to your healthcare professional.

What to avoid while taking Ingrezza

Ingrezza has 478 drug interactions. Don’t change what you are taking without checking with your healthcare provider. That includes other prescription drugs or supplements, as well as over-the-counter medicines. 

Clinically significant drug interactions with Ingrezza include:

  • Monoamine oxide inhibitors (MAOIs), such as isocarboxazid, phenelzine, and selegiline

  • Cymbalta (duloxetine)

  • Latuda (lurasidone)

Avoid drinking alcohol while taking Ingrezza. Alcohol may decrease the effectiveness of Ingrezza and increase your risk of very serious side effects. In addition, grapefruit and grapefruit juice may increase the blood levels and effects of valbenazine, such as drowsiness and irregular heart rhythm (QT prolongation).

Medication alternatives to Ingrezza

If your healthcare provider prefers to put you on another treatment, they may suggest another VMAT2 inhibitor in another drug class. Here are some common doctor-recommended alternatives based on your health issue:

Ingrezza prescription FAQs

  • How much does Ingrezza cost?

    Depending on your pharmacy, Ingrezza costs around $7,760 for twenty-eight 40 mg capsules without insurance. Fortunately, generic brands, such as valbenazine, offer an affordable alternative for treating TD.

  • How can I refill my Ingrezza prescription?

    To refill your Ingrezza prescription, book a virtual appointment with one of our top rated board-certified doctors. After reviewing your symptoms and medical history, your doctor can send an electronic prescription to your local pharmacy.

  • How long does it take for Ingrezza to take effect?

    Ingrezza may start improving your tardive dyskinesia (TD) symptoms within 2–6 weeks.

  • Can you stop Ingrezza abruptly?

    No, you should not stop taking Ingrezza without talking to your healthcare professional. Stopping Ingrezza may lead to tardive dyskinesia (TD) symptom relapse.

  • Does Ingrezza cause anxiety?

    Yes, less common side effects of Ingrezza may include anxiety, insomnia, upset stomach, and weight gain.

  • Who should not take Ingrezza?

    Avoid taking Ingrezza if you have certain medical conditions, such as:

    • Heart disease

    • QT prolongation

    • Congestive heart failure

    • Liver disease

    • Kidney disease

    • Severe renal impairment

  • What happens if I miss a dose of Ingrezza?

    If you miss a dose of Ingrezza, take the missed dose as soon as you remember. Skip the missed dose if it's almost time for your next dose. Avoid taking two doses to make up for a missed dose.

  • What happens if I take too much Ingrezza?

    If you've taken too much Ingrezza, call your doctor immediately or contact your local poison control center.

3 simple steps to request your Ingrezza prescription today 

Step 1: Book an appointment

Step 1

Book an Ingrezza prescription request appointment.

Book a same day appointment from anywhere.

Step 2: Visit with a doctor on your smartphone

Step 2

Talk to your medical provider regarding your Ingrezza prescription.

Visit with a doctor on your smartphone or computer.

Step 3: pick up at local pharmacy

Step 3

Pick up your Ingrezza prescription.

We can send prescriptions to any local pharmacy.

Ingrezza prescription pricing details

How pricing works

To get a new or refill on your Ingrezza prescription, join our monthly membership and get discounted visits.

Paying with insurance

Membership

$16.99/month

First month free

Visits

Copay

30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

  • We accept these insurance plans and many more:

    • Humana
    • Aetna
    • United Healthcare

Paying without insurance

Membership

$16.99/month

First month free

Visits

$129

30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price without insurance

Initial visits are $129.

Book an appointment

If we're unable to treat you, we'll provide a full refund.

Ingrezza prescription resources

Sources:

PlushCare is dedicated to providing you with accurate and trustworthy health information.

PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.