0000016515 00000 n These prescription drug lists have different levels of coverage, which are called "tiers". 0000002390 00000 n We encourage doctors to prescribe … 0000007562 00000 n These drugs may require a doctor’s request for preapproval or prior authorization. 0000001643 00000 n Our revised medical policy, Vivitrol (naltrexone extended-release) Injection, identifies when this drug is considered medically necessary and when it is considered not medically necessary or investigational. But opting out of some of these cookies may have an effect on your browsing experience.Due to the Coronavirus (COVID-19), customer service may be longer than expected, as our call volumes have been increasing. ... of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. BlueCross BlueShield companies nationwide cover roughly 105 million people – about one in every three people. Is an injectable version of naltrexone that helps block the effects of narcotics. These policies may be useful for providing background information or for understanding benefit determinations made when the policy was active. 0000011352 00000 n Although Prescription Hope is not a Vivitrol coupon, individuals looking for a Vivitrol coupon can find more savings through Prescription Hope!When you obtain your medications from Prescription Hope, it will never cost more than $50.00 per month for each medication. for details. Alkermes disclaims all warranties, either express or implied, including but not limited to the implied warranties of merchantability and fitness for particular purpose. 0000011948 00000 n If you need access to alternate injection providers, please contact Vivitrol2gether SM Patient Support Services at 1-800-VIVITROL (1-800-848-4876) for assistance in locating a healthcare provider who is providing injections or click on 'Find A Vivitrol Provider' to get a listing of injection providers in your area. We encourage … 0000006340 00000 n 0000028500 00000 n 0000015503 00000 n Refer to the : How to Read section . The Provider Locator is provided by Alkermes for use by the medical and dependence treatment communities, potential patients and/or their families in order to find information on, and locate healthcare providers for the treatment of alcohol dependence or opioid dependence. 0000014824 00000 n All you pay is a set Prescription Hope is NOT a prescription discount card or an insurance plan.Prescription Hope works with over 180 U.S.-based pharmaceutical manufacturers patient assistance programs to access over 1,500 FDA-approved medications. Products approved for more than one use may be included in more than one chapter. Once we receive this information back, we immediately order your medication for you. To see your plan’s coverage information, log in or register on the member site or call customer service using the number on the back of your ID card. Your … for details. 0000013742 00000 n We are working diligently to make sure your requests are taken care of promptly. 0000003809 00000 n Vivitrol can help prevent relapses into alcohol or drug abuse.According to the Centers for Disease Control, nearly one in five Americans regularly takes three prescription medications.