Getting Your
Prescription

When you're prescribed VIVITROL, it is important to avoid delays so that you can stay on track during your opioid-free recovery journey.

By following a few steps and working closely with your healthcare provider and the specialty or other pharmacy, you have the resources you need to help you stay on track in your recovery journey.

Your doctor prescribes VIVITROL®
With your healthcare provider:
  • Complete the specialty pharmacy form
  • Provide your insurance card (if applicable)
  • Discuss the VIVITROL® Co-pay Savings Program
Your healthcare provider will then send the form to the specialty pharmacy.
A pharmacy fills your VIVITROL® prescription
The specialty or other pharmacy: Expect a call from your pharmacy to coordinate the delivery of your first prescription to your healthcare provider’s office.
Your VIVITROL® prescription is delivered to your doctor
You will be contacted by the pharmacy to verify:
  • Payment
  • Shipping
  • Delivery
Upon approval, the prescription will be filled and shipped to your healthcare provider’s office.
Your doctor administers your VIVITROL® injection and schedules your next appointment
  • Visit your healthcare provider to receive your VIVITROL injection on your appointment date
  • Schedule your next appointment
  • Repeat steps 2-3

VIVITROL is not right for everyone. There are significant risks from VIVITROL treatment, including risk of opioid overdose, severe reaction at the injection site and sudden opioid withdrawal.
See Important Safety Information below. Discuss all benefits and risks with a healthcare provider. See Prescribing Information and Medication Guide.


Terms and Conditions

*Eligibility for Alkermes-Sponsored Co-pay Savings. This offer is only available to patients 18 years or older, with a prescription consistent with the Prescribing Information and the patient is not enrolled in, or covered by, any local, state, federal or other government program that pays for any portion of medication costs, including but not limited to Medicare, including Medicare Part D or Medicare Advantage plans; Medicaid, including Medicaid Managed Care and Alternative Benefit Plans under the Affordable Care Act; Medigap; VA; DOD; TRICARE; or a residential correctional program.
Additional Terms of Use: This offer is not conditioned on any past, present, or future purchase, including refills. Alkermes reserves the right to rescind, revoke, or amend this offer, program eligibility, and requirements at any time without notice. This offer is limited to one per patient, may not be used with any other offer, is not transferable and may not be sold, purchased or traded, or offered for sale, purchase or trade. Void where prohibited by law. Program Administrator or its designee will have the right upon reasonable prior written notice, during normal business hours, and subject to applicable law, to audit compliance with this program.