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Click Here for Indications 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.

of people with insurance are covered for VIVITROL,
including those on most government and
commercial plans.1

*Based on commercial and Medicaid pharmacy lives and Medicare low-income subsidy lives. Coverage may include plans with restricted access such as: prior authorization, step edits, or mandatory buy and bill.
Source: Fingertip Formulary 10/5/2020.


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' health care 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 2 options:


The following steps provide an understanding of the ordering process for VIVITROL.

  • First VIVITROL prescription
    • Determine the pharmacy options available based on the patient's health plan coverage. Information on pharmacy options for certain insurers may be found on the Insurance and Pharmacy Navigator
    • Discuss the VIVITROL® Co-pay Savings Program with the patient; eligible patients can sign up and provide the required information to the pharmacy
    • Remind your patients to expect a call from the pharmacy and/or Vivitrol2gether to review important information about the first pharmacy order
  • Insurance, co-pay savings and prescription verification
    • The pharmacy performs a benefit verification on behalf of the patient and confirms prescription verification and, if needed, authorization with the health plan
    • Co-pay savings are applied for eligible patients
    • Patient authorizes payment
  • Schedule shipping and delivery
    • Patient is contacted to schedule or confirm delivery date
    • Patient is called about next steps and follow-ups
  • Rx is filled and ready to ship
    • Pharmacy contacts patient and healthcare provider’s office to authorize shipment
      • After patient authorization, pharmacy will contact your office to set up delivery
    • Prescription is filled by pharmacy and shipped to your office
  • Delivery of VIVITROL
    • Office receives VIVITROL
    • Patient receives injection of VIVITROL
    • Your patient's follow-up appointment is scheduled
  • Follow-up for next injection
    • Office coordinates with patient to schedule follow-up appointment for the next injection

Get information on insurer requirements and forms plus pharmacy options for fulfillment of VIVITROL from the Insurance and Pharmacy Navigator

VIVITROL® Co-pay Card

VIVITROL® Co-pay Savings Program

Learn how the VIVITROL® Co-pay Savings Program may assist eligible* patients with out-of-pocket expenses for their VIVITROL prescriptions.

*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.

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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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