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VIVITROL is indicated for:
  • The treatment of alcohol dependence in patients who are able to abstain from alcohol in an outpatient setting prior to initiation of treatment with VIVITROL. Patients should not be actively drinking at the time of initial VIVITROL administration.
  • The prevention of relapse to opioid dependence, following opioid detoxification.

VIVITROL should be part of a comprehensive management program that includes psychosocial support.

VIVITROL is covered for 99%
of all patients1*

* Formulary data is provided by Decision Resources Group
Fingertip Formulary and are current as of July 2022.

Watch the video
to learn about fulfillment

Filling a VIVITROL prescription

Pharmacy options, approval requirements, and the cost for VIVITROL prescriptions vary by health plan. Health plans can cover VIVITROL as either a medical or pharmacy benefit.

How healthcare providers obtain VIVITROL usually depends on how it is covered by the patient’s health plan. Get information on insurer requirements and forms plus pharmacy options for fulfillment of VIVITROL from the Insurance and Pharmacy Navigator.

  • Retail pharmacy: Some health plans allow any network pharmacy to fill VIVITROL.

  • Specialty pharmacy: These pharmacies will obtain and ship a patient-specific prescription to your office. If a patient’s insurance covers VIVITROL under the medical benefit portion of the health plan, the plan may allow a network pharmacy to ship VIVITROL directly to the provider’s office and bill the patient’s health plan directly on behalf of the provider. The Vivitrol2gether® team can work with offices to send prescriptions to pharmacies based on their patients' healthcare plan requirements. Link to Vivitrol2gether enrollment form on previous page.

  • Buy and bill: Another option if VIVITROL is covered through the medical benefit is for the healthcare provider to buy units of VIVITROL from a specialty distributor and bill the patient’s insurance directly when it is administered.

Buy-and-bill providers and the VIVITROL Co-pay Savings Program:

  • If you set up an account with IQVIA, you can directly submit a reimbursement request for your eligible patient’s co-pay or deductible expenses
  • To enroll in the VIVITROL Co-pay Savings Program, set up an account with Opus Health/IQVIA. You have 3 options:

Obtaining VIVITROL through a specialty pharmacy

  • How you obtain VIVITROL depends on how it is covered by the patient’s health plan. Often, health insurers require injectable medications to be filled through designated specialty pharmacies
  • Specialty pharmacies obtain and ship a patient-specific prescription to the healthcare provider’s office. Specialty pharmacies bill the patient’s insurance directly and collect any co-pay from the patient

Getting patients started on VIVITROL via specialty pharmacy fulfillment

The healthcare provider’s office:

  • Completes the specialty pharmacy form if using the Vivitrol2gether Patient Support Services, fill out the Vivitrol2gether Patient Enrollment Form
    • If submitting directly to the specialty pharmacy, consults Insurance and Pharmacy Navigator and fills out the pharmacy’s form or the Vivitrol2gether Patient Enrollment Form
    • Provides front and back of patient’s medical and pharmacy insurance cards (if patient has both)
  • Explains the availability of the VIVITROL Co-pay Savings Program for eligible patients
  • Sends the specialty pharmacy form to the specialty pharmacy
  • Returns the specialty pharmacy’s call to confirm shipment date

The specialty pharmacy:

  • Confirms insurance coverage with the patient’s health plan
  • Finds out what the patient’s insurance covers
  • Applies any co-pay program savings for which the patient is eligible
  • May provide additional support services for patient continuity of care

Patients should expect a call from the specialty pharmacy to coordinate the delivery of their prescription to the healthcare provider’s office.

*Terms and Conditions

Eligible patients who have commercial insurance or no insurance may pay as little as $0 per prescription of VIVITROL. Maximum savings per prescription is $500 up to 12 prescriptions per calendar year, with maximum savings up to $6,000 per calendar year. Patients’ out-of-pocket expenses may vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Additional terms and conditions apply. Please see www.vivitrolcopayterms.com for full VIVITROL Co-pay Program Terms and Conditions.

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Reference: 1. Data on file. Alkermes, Inc. Waltham, MA.

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Reference: 1. Data on file. Alkermes, Inc. Waltham, MA.

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We have updated our Privacy Policy. Please review our Privacy Policy. This website uses cookies. By using our website without changing your cookie settings, you agree to our use of cookies as described in our Privacy Policy.

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