VIVITROL is a prescription injectable medicine used to:
  • Treat alcohol dependence. You should stop drinking before starting VIVITROL.
  • Prevent relapse to opioid dependence, after opioid detoxification.

You must stop taking opioids before you start receiving VIVITROL. To be effective, VIVITROL must be used with other alcohol or drug recovery programs such as counseling.

VIVITROL may not work for everyone. It is not known if VIVITROL is safe and effective in children.

Verify your benefits

99% of people with ANY insurance (INCLUDING MEDICAID) are covered for VIVITROL®*

9 OUT OF 10 ELIGIBLE VIVITROL PATIENTS PAY LESS THAN $5 OUT OF POCKET

*Current as of September 2024.

99% of Medicaid patients pay $4 or less.

Fill out the form below to see if your insurance can help cover the cost of VIVITROL. Once you submit this completed form, one of our Vivitrol2gether® customer service specialists will contact you by email or phone to review your results.

All fields are required unless marked optional.
  • Unfortunately, if you do not have insurance or are paying with cash, conducting an insurance benefit verification is not applicable for you.
    If you would like more information about the cost of VIVITROL, please reach out to a pharmacy of your choice and consider the VIVITROL Co-pay Savings Program. Eligibility requirements apply.
All fields are required unless marked optional.
If there are multiple phone numbers on your insurance card, please provide the number found at the top of the phone number list.

We are unable to confirm your insurance benefits at this time.

Please review your personal and insurance information and try resubmitting. If you need help, please call 1-800-VIVITROL (1-800-848-4876), Monday–Friday, 9:00 AM–8:00 PM (ET), to speak with a customer service specialist.

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Are you a patient or a caregiver, and need help completing this form? Call 1-800-VIVITROL (1-800-848-4876) and select option 4 to connect with a Vivitrol2gether patient support representative, Monday–Friday, 9:00 AM–8:00 PM (ET).


LEARN ABOUT POSSIBLE SAVINGS ON YOUR VIVITROL PRESCRIPTION

Through the VIVITROL Co-pay Savings Program, eligible patients can reduce their out-of-pocket costs.*

Learn More

GETTING YOUR PRESCRIPTION

Understand what happens after you have been prescribed VIVITROL leading up to your injection appointment.

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VIVITROL is not right for everyone. There are significant risks from VIVITROL treatment, including risk of opioid overdose, severe reactions at the injection site, sudden opioid withdrawal, liver damage or hepatitis.

Talk to your healthcare provider about naloxone, a medicine that is available to patients for the emergency treatment of an opioid overdose.

Call 911 or get emergency medical help right away in all cases of known or suspected opioid overdose, even if naloxone is administered.

If you are being treated for alcohol dependence but also use or are addicted to opioid-containing medicines or opioid street drugs, it is important that you tell your healthcare provider before starting VIVITROL to avoid having sudden opioid withdrawal symptoms when you start VIVITROL treatment.

*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.

*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.