Revia

Indicated For

Alcohol Use Disorder (AUD), Opioid Use Disorder (OUD)

About This Medication

# Revia (Naltrexone) Patient Assistance Guide: How to Get Your Medication at Low or No Cost Revia (naltrexone) is a prescription medication used to help adults manage alcohol use disorder and opioid use disorder by reducing cravings and blocking the effects of these substances.[5][9] While there is no specific manufacturer-sponsored patient assistance program (PAP) directly for brand-name Revia identified, several third-party programs, discount services, and foundations can help uninsured or low-income patients access naltrexone (the generic form of Revia) or similar treatments at significantly reduced costs, often $60-$70 per month or free.[1][2][3][6] ## About Revia (Naltrexone) **Revia**, or its generic equivalent naltrexone, is an oral tablet typically taken once daily at 50 mg.[9] It works by binding to opioid receptors in the brain, blocking the euphoric effects of alcohol and opioids, which helps prevent relapse in recovery.[5] It's most effective as part of a comprehensive treatment plan including counseling, support groups, and lifestyle changes—not as a standalone cure.[5][9] Common uses include: - Supporting recovery from alcohol dependence after detoxification. - Preventing opioid relapse in patients who have been opioid-free for 7-10 days. **Important safety notes**: Do not take if using opioids, as it can cause sudden withdrawal. Always inform your doctor of all medications and undergo a naloxone challenge test if needed. Side effects may include nausea, headache, dizziness, or liver concerns (regular monitoring advised).[9] ## Who Qualifies for Assistance? Since Revia lacks a dedicated PAP, eligibility focuses on third-party programs like Prescription Hope, PAN Foundation, or Patient Advocate Foundation. General qualifiers include: - U.S. residents with a valid prescription for an FDA-approved use (e.g., alcohol/opioid use disorders).[3][6] - Low income, often up to 300-400% of the Federal Poverty Level (FPL).[2][3] - Uninsured or underinsured (some programs work with commercial insurance; many exclude Medicare/Medicaid).[1][2][4] **Income Eligibility Breakdown** Programs vary, but here's a typical table based on common PAP thresholds (e.g., Prescription Hope and foundations like PAN/PAF). Exact limits depend on household size and program—always verify.[2][3] | Household Size | Annual Income Limit (300% FPL) | Annual Income Limit (400% FPL) | Notes | |----------------|-------------------------------|-------------------------------|-------| | 1 (Individual) | $45,180 | $60,240 | Adjust for COLI in high-cost areas.[3] | | 2 (Couple) | $61,320 | $81,760 | Add ~$16,140 per additional person for 300% FPL.[2] | | 3 | $77,460 | $103,280 | Foundations consider household costs.[3] | | 4 | $93,600 | $124,800 | Excludes federal program users.[4] | These are 2026 estimates based on FPL guidelines; check HHS.gov for updates. Programs like Prescription Hope cap costs at $60/month regardless of exact FPL percent.[2] ## Insurance Requirements Most PAPs target uninsured patients or those with high copays/deductibles on commercial insurance.[1][2][6] Key points: - **Works with private insurance**: Yes, often supplements copays (e.g., PAN Foundation).[3] - **Medicare/Medicaid exclusion**: Common—many PAPs bar federal program users (Part D, Extra Help, VA, TRICARE).[1][4] - **Alternatives for insured**: Use GoodRx discounts (up to 80% off), Medicare Extra Help, or Part D payment plans.[1] If insured, check PAN (up to 400% FPL) or Patient Advocate Foundation for copay relief.[3] ## Step-by-Step Application Process 1. **Get a prescription**: Consult your doctor or telehealth provider (e.g., Talkspace, Workit Health) for Revia/naltrexone. Confirm FDA-approved use.[5][8] 2. **Choose a program**: - Prescription Hope: Apply online or call; $60/month flat fee.[2] - PAN Foundation: For copays; apply via website or 866-512-3861.[3] - GoodRx/SingleCare: Free coupons at pharmacy.[1][6] - Manufacturer check: Contact Alkermes (Vivitrol maker, related to naltrexone) or search Needymeds.org.[6] 3. **Gather documents**: Proof of income (tax returns, pay stubs), prescription, ID, insurance status (if applicable).[2][3] 4. **Submit**: Online portals preferred; expect advocate follow-up within 48 hours.[2] 5. **Doctor involvement**: Program may contact your prescriber for verification.[2] ## Timeline and Delivery - **Approval**: 48 hours for pre-qualification (Prescription Hope); 2-4 weeks for first shipment after documents.[2][8] - **Delivery**: Mailed to your home (2-5 business days post-approval) or pharmacy pickup with coupon.[1][2][8] - **Refills**: Automatic monthly management; annual renewals.[2] ## Alternatives if Denied - **Discount cards**: GoodRx, SingleCare—immediate 50-90% off, no income check.[1][6] - **Medicaid/State programs**: Apply via Benefits.gov; may cover fully.[3] - **Telehealth generics**: Low-cost naltrexone via Talkspace (insurance often covers).[5] - **Generic switch**: Naltrexone is cheaper; Prescription Hope covers it.[2] - **Copay foundations**: PAN/PAF if income qualifies.[3] - **Pharmacy savings**: Canadian options or Rx Advantage (insured OK).[3] No biosimilars for oral naltrexone; Vivitrol (injectable) has separate copay cards (excludes government insurance).[4][7] ## Disclaimer This guide synthesizes publicly available info as of 2026 and is not medical/financial advice. Programs change; verify eligibility directly. Consult your healthcare provider before starting Revia. Assistance not guaranteed; income/FPL based on current guidelines. For Medicare, explore Extra Help first.[1] Word count: 1028.

Program information last verified: March 30, 2026