This Insurance and Pharmacy Navigator is provided for informational purposes only, represents Alkermes’ understanding of applicable insurer requirements within a state, and provides a non-exhaustive list of pharmacy fulfillment options for VIVITROL prescriptions covered by such insurance. The Insurance and Pharmacy Navigator includes pharmacies designated by the insurer and, where Alkermes has obtained sufficient data, additional pharmacies that have met an established fulfillment-percentage standard for VIVITROL prescriptions covered by the insurer over a specified period of time. No fees are paid, including by insurers or pharmacies, for inclusion in the Insurance and Pharmacy Navigator. Insurer requirements and pharmacy options vary by plan, patient and setting of care, and are complex and updated frequently without our knowledge or control. The information provided in the Insurance and Pharmacy Navigator is not intended as advice, recommendations or a directive of any kind. Additional insurance requirements may apply and healthcare providers should always contact the applicable insurer or pharmacy directly to obtain complete and current information.

Take the following steps to select a state and insurer. Then, you can view pharmacy information and insurer requirements, including prior authorization and enrollment forms.

Enter a healthcare provider state:

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IMPORTANT: Healthcare providers are responsible for keeping current and complying with all applicable insurer requirements and for the selection of diagnosis and procedure codes that accurately reflect their patient’s condition and the services rendered. Healthcare providers also are responsible for the accuracy of all claims and related documentation submitted to insurers for reimbursement. Alkermes does not guarantee insurer coverage or reimbursement or pharmacy fulfillment of VIVITROL prescriptions. Under no circumstances will Alkermes, Inc., or its affiliates, employees, consultants, agents or representatives be liable for costs, expenses, losses, claims, liabilities or other damages that may arise from or be incurred in connection with the information provided in the Insurance and Pharmacy Navigator or any use thereof.

Request A Representative

REQUEST A REPRESENTATIVE

Request a visit from a VIVITROL representative to learn more about how VIVITROL may help your opioid- and alcohol-dependent patients.

REQUEST A REPRESENTATIVE

VIVITROL® Co-pay Savings Program

LEARN ABOUT THE 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.

LEARN MORE
*Eligibility for Alkermes-Sponsored Co-pay Assistance: Offer valid only for prescriptions for FDA-approved indications. You must be at least 18 years old. If you are purchasing your VIVITROL® prescriptions with benefits from Medicare, including Medicare Part D or Medicare Advantage plans; Medicaid, including Medicaid Managed Care or Alternative Benefit Plans (“ABPs”) under the Affordable Care Act; Medigap; Veterans Administration (“VA”); Department of Defense (“DoD”); TriCare®; or any similar state funded programs such as medical or pharmaceutical assistance programs, you are not eligible for this offer. Void where prohibited by law, taxed or restricted. Subject to plan benefit design requirements. Alkermes, Inc. reserves the right to rescind, revoke or amend these offers without notice.