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 patients with opioid dependence and
alcohol dependence.

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

*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.