Naltrexone is a prescription medication that is used to treat opioid and alcohol use disorder.
The cost of this medication for drug or alcohol treatment can vary:
- Average cost of generic naltrexone without insurance: $101 for a 30-day supply
- Average cost of generic naltrexone with insurance: $0-$101 for a 30-day supply
Naltrexone comes in the form of a pill (oral) or injection. Oral naltrexone is available in generic and brand-name versions. Injectable naltrexone has no generic version available.
Does Insurance Cover Naltrexone?
Many health insurance plans, including Medicare and Medicaid plans, offer coverage for generic naltrexone, brand name versions of naltrexone, or both.
Naltrexone may be covered by:
- private health insurance plans
- commercial insurance plans (i.e. employer-provided group plans)
- Medicare and Medicaid health plans
- military insurance (i.e. Tricare)
The cost of naltrexone may vary depending on the type of insurance plan you have, your insurance policy, prior authorization requirements, and the type of naltrexone received.
Cost Of Naltrexone Without Insurance
Naltrexone is a non-addictive medication that comes in the form of a pill, usually taken daily, or a monthly injection (Vivitrol).
Oral naltrexone is cheaper in cost than Vivitrol, the brand name for the extended-release injectable form of naltrexone.
Cost Of Oral Naltrexone Without Insurance
Oral naltrexone is available as a generic drug, or may be prescribed under the brand names Revia or Depade.
Without insurance, oral naltrexone can vary in cost from $25 to $108 for a 30-day supply of 50 milligram (mg) tablets.
Factors that can affect this:
- where you buy naltrexone
- prescribed dosage
- frequency of use
- pharmacy coupons/discounts used
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Cost Of Naltrexone Injection Without Insurance
The injectable form of naltrexone (Vivitrol) can be costly without insurance. A monthly dose of Vivitrol costs about $1,176.50 on average, or $14,112.00 per year.
This estimated cost includes the cost of the drug, the administration of Vivitrol, and related services for Vivitrol administered through an opioid treatment program (OTP).
Cost Of Naltrexone With Insurance
Medication-assisted treatment (MAT) for alcohol and opioid use disorder with naltrexone is covered by many health insurance plans.
With health insurance, the cost of naltrexone can be dramatically reduced, depending on the type of insurance plan you have and other eligibility requirements for coverage.
Cost Of Oral Naltrexone With Insurance
The cost of oral naltrexone with prescription drug coverage can vary depending on the health insurance provider and your insurance policy.
Some insurance plans may fully cover the cost of oral naltrexone, while others may require copayment.
Cost Of Injectable Naltrexone With Insurance
Many health insurance plans offer coverage for Vivitrol, the injectable form of naltrexone. Copayment, prior authorization, and other eligibility requirements may apply.
For those with copayment requirements, the manufacturer of Vivitrol now offers a Co-Pay Savings Program for eligible adults with public or private insurance.
Not all health insurance providers that cover oral naltrexone cover Vivitrol. To confirm coverage, you’ll need to refer to your specific insurance policy or contact your insurer.
Factors That Affect The Cost Of Naltrexone
In addition to whether you have health insurance, there are a number of factors that can affect the cost of medications like naltrexone for substance abuse recovery.
What can affect the cost of naltrexone:
- prescription dosage
- state of residence
- drug formulation (i.e. pill vs. injection)
- treatment setting (e.g. outpatient clinic, inpatient rehab program)
- generic or brand name version
- insurance provider
- prescription drug coverage policy
- pharmacy coupons
Not all insurance companies cover naltrexone the same. Insurance deductibles, co-payment, and other insurance-related requirements for covering costs may apply.
In addition, factors such as the dosage prescribed and whether you are receiving a brand name or generic drug product can affect drug costs.
Naltrexone Cost FAQs
Find answers to frequently asked questions about the cost of naltrexone.
❓ Is Naltrexone Covered By Medicaid?
✔️ Naltrexone (oral and injectable) is covered by Medicaid in all 50 states and the District of Columbia.
❓ Does Medicare Cover Naltrexone?
✔️ Medication-assisted treatment (MAT) with naltrexone is covered by Medicare Part D and Medicare Part A, B, and C when administered in approved treatment settings.
❓ Does Tricare Cover Naltrexone?
✔️ TRICARE offers prescription drug coverage for oral naltrexone, which is available in generic and brand name versions.
Vivitrol, the extended-release formulation of naltrexone, is not covered by TRICARE.
❓ How Much Is A Prescription For Naltrexone?
✔️ The average cost of a prescription for oral naltrexone ranges from $20 to $109 for a 30-day supply, without insurance.
Pharmacy coupons, drug discounts, and prescription drug coverage offered through a health insurance plan may help reduce naltrexone prescription costs.
Getting Naltrexone For Drug Addiction Treatment
Naltrexone is an FDA-approved medication-assisted treatment option that can help reduce the desire to drink alcohol or use opioids, including the illicit drug heroin.
If you’re looking for affordable naltrexone treatment for yourself or a loved one, we may be able to help.
Call our helpline today to speak to one of our staff members about finding an affordable naltrexone treatment program that’s right for you.
Published on July 20, 2021
Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available.
These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy.
- Congressional Research Service — Medicare Coverage of Medication Assisted Treatment (MAT) for Opioid Addiction
- Substance Abuse and Mental Health Services Administration (SAMHSA) — Medicaid Coverage of Medication-Assisted Treatment for Alcohol and Opioid Use Disorders and of Medication for the Reversal of Opioid Overdose
- TRICARE: Express Scripts — TRICARE Formulary Search
- U.S. National Institute on Drug Abuse (NIDA) — How much does opioid treatment cost?
- Vivitrol — Co-pay Savings Program: VIVITROL (naltrexone for extended-release injectable suspension)