Vivitrol

Indicated For

Alcohol Use Disorder, Opioid Use Disorder

About This Medication

# Vivitrol2gether Patient Guide: How to Get Vivitrol (naltrexone) at Low or No Cost Vivitrol2gether is Alkermes' patient support program that helps eligible patients access **VIVITROL® (naltrexone for extended-release injectable suspension)**, a once-monthly injection used to treat alcohol dependence or prevent relapse to opioid dependence after detoxification.[2][10] This guide explains eligibility, application steps, and support options in simple terms to help you get started on your treatment journey. ## About VIVITROL **VIVITROL** is an extended-release injectable form of naltrexone, administered intramuscularly once every 4 weeks by a healthcare provider.[2][10] It blocks opioid receptors to help prevent relapse in opioid dependence (only after full detoxification) and reduces heavy drinking days in alcohol dependence.[2] Important: You must stop drinking alcohol before starting for alcohol dependence, and completely detox from opioids before beginning for opioid dependence. VIVITROL works best alongside counseling, support groups, or other recovery programs—it's not a standalone cure.[2][10] Common side effects include nausea, headache, dizziness, and injection site reactions. Serious risks include liver damage, severe reactions if opioids are taken too soon after a dose, or allergic responses. Always discuss with your doctor if VIVITROL is right for you.[10] ## Who Qualifies for Vivitrol2gether? Vivitrol2gether provides comprehensive support, including access to injections, prescription fulfillment, and financial assistance for those who qualify.[3][4][9] While specific income thresholds aren't publicly detailed, the program targets patients without prescription coverage who meet financial need criteria.[9] It's open to U.S. patients facing hardship, including during crises like COVID-19.[4] Key qualifiers: - Have a valid VIVITROL prescription from your doctor. - U.S. resident (program is U.S.-focused).[4] - Meet program-specific income and insurance criteria (call to confirm).[9] **99% of people with any insurance (including Medicaid) are covered for VIVITROL**, but check your coverage first.[2] ## Income Eligibility Breakdown Detailed income limits aren't listed on public sites, but Alkermes programs generally base eligibility on financial hardship and lack of prescription coverage.[9] Contact (866) 316-7263 for personalized assessment. Here's a general overview based on similar programs (confirm with Alkermes as % of Federal Poverty Level (FPL) may apply): | Household Size | Estimated Max Annual Income | Notes | |---------------|-----------------------------|-------| | Individual | Up to 400-500% FPL | Varies; financial hardship considered[9] | | Couple | Up to 400-500% FPL | Exact criteria via phone verification | | Family of 3 | Up to 400-500% FPL | No prescription coverage required[9] | | Family of 4+ | Up to 400-500% FPL | Call for details; crisis situations prioritized[4] | *Table is illustrative; actual thresholds require program confirmation. FPL updates annually.*[9] ## Insurance Requirements Vivitrol2gether works with various insurance types:[2][5] - **Commercial insurance**: Eligible for Co-pay Savings Program (up to $500 per prescription, $6,000/year max; as low as $0 copay).[2][5] - **No insurance**: Qualifies for patient assistance if income criteria met.[9] - **Medicare/Medicaid/federal programs**: Not eligible for Co-pay Savings; explore Vivitrol2gether for other support or free trial options where applicable.[2][5][6] 99% coverage rate means most insured patients pay little out-of-pocket.[2] Use the Provider Locator for injection sites accepting your plan.[4] ## Step-by-Step Application Process 1. **Get Prescribed**: Talk to your doctor about VIVITROL. They confirm it's appropriate post-detox.[2] 2. **Enroll in Vivitrol2gether**: Call **(866) 316-7263** (patient line) or 1-800-VIVITROL (1-800-848-4876) Mon-Fri 9AM-8PM ET.[3][7] Or have your doctor complete the Enrollment Form.[3][7] 3. **Provide Info**: Share personal details, insurance, income proof if needed (e.g., tax returns, pay stubs).[7][9] 4. **Check Co-pay Eligibility**: For commercial/no insurance, get instant savings card online or via phone.[5] 5. **Prescription Routing**: Alkermes routes to a pharmacy or provider; select injection site via Provider Locator (includes 900+ Albertsons pharmacies).[4][7] 6. **Approval**: Support team handles fulfillment; free participation.[7] Your doctor can sign the form to authorize shipping and pharmacy coordination.[7] ## Timeline and Delivery Processing varies but aims for quick start: Enrollment to injection often within days to weeks, depending on insurance verification.[3] Case managers assist with pharmacy triage for faster fulfillment.[3][7] Injections at doctor offices, clinics, or retail pharmacies like Albertsons.[4] Vivitrol2gether coordinates delivery to your chosen site—no home delivery specified.[7] ## Alternatives if Denied or Ineligible - **Co-pay Program** (if commercial insurance): Up to $6,000/year savings.[2][5] - **Hospital Free Trial**: For inpatient settings (pharmacies not accepting PDMA).[6] - **Provider Locator**: Find low-cost injection sites.[4] - **SAMHSA Helpline**: Free referrals for treatment (1-800-662-HELP).[1] - **RxAssist**: Search other aid programs.[9] - **Generic naltrexone**: Oral alternative; discuss with doctor (no biosimilars for VIVITROL).[10] ## Disclaimer This guide is for informational purposes based on available data as of 2026. Eligibility, terms, and availability change; always verify with Alkermes at (866) 316-7263 or vivitrol.com. Not medical advice—consult your healthcare provider. Co-pay terms at www.vivitrolcopayterms.com. Alkermes not liable for misuse.[2][5][7] Word count: 942.

Program information last verified: March 30, 2026