Are Naltrexone Injections Covered by Insurance?

Naltrexone injection (Vivitrol) is a monthly intramuscular injection for opioid and alcohol use disorder treatment. Naltrexone Injections are covered by both government and commercial insurance. If you have been recommended this treatment and the cost of Naltrexone is a deciding factor, then you are on the right page. Let’s dig deeper to explore the cost, insurance, and co-pay options for the Naltrexone prescription program. 

ChoicePoint is in-network with major insurance providers, including Medicaid, Optum, and Medicare. Verify your insurance online and get your Naltrexone shot today by calling 844.445.2565.

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Are Naltrexone Injections Covered by Insurance? 

Yes, Naltrexone shots are covered by major insurance providers. These include:

1. Medicare, Medicare Part D, or Medicare Advantage plan
2. Medicaid
3. Tricare
4. State-funded programs
5. Veterans Administration (VA)
6. Commercial insurance companies such as:

• Optum
• Blue Cross Blue Shield
• Amerigroup NJ
• Cigna NJ
• Humana NJ
• United Healthcare Insurance

Please verify your insurance online or speak to our customer representative to understand the exact coverage of your insurance. 

Cost of Naltrexone Covered By Insurance

The exact cost and coverage depend on your insurance plan. There are two factors to consider when calculating the cost of Naltrexone:

1. Whether you are using a Naltrexone tablet 50 mg (ReVia) or Injectable Naltrexone 380 mg (Vivitrol)
2. If you are using generic or brand-name medication.

Most companies cover the total cost of generic Naltrexone. Even the Naltrexone website also claims that 99% of insurance companies cover the cost of generic Naltrexone. However, the policy of brand-name medication coverage differs from one insurance company to another.  

The new laws have bound many commercial and state-funded insurance companies to provide substance abuse treatment coverage; that means you may not have to pay or pay significantly less with insurance. You can also opt for insurance-covered comprehensive treatment and a Naltrexone management program. These include:

1. Your doctor’s visit, initial screening, and diagnosis
2. Medication-assisted treatment, Naltrexone prescription and administration
3. Substance abuse counseling
4. Dual diagnosis treatment (if you are suffering from a mental health condition along with addiction)
5. Behavioral therapy

Medicines Used in Alcohol and Opioid Dependence

Is Online Naltrexone Prescription Covered by Insurance?

Telehealth services have revolutionized healthcare. You can now get online prescriptions for opioid and alcohol addiction medication without the need to visit the clinic. Most insurance plans cover online Naltrexone prescriptions. You can take the prescription to your nearest pharmacy to get your medication.

What is the Cost Of Naltrexone Without Insurance?

The exact cost of Naltrexone depends on the brand and form of medication you are using. For example, generic Naltrexone costs less than brand-name naltrexone. Also, the tablet form is more budget-friendly than the injectable form.

Many online sources claim the cost of naltrexone tablets to be around $100. However, the price depends on many factors, such as your location and state taxes. You must ask your pharmacist or doctor for the exact updated price. 

If you do not have insurance, there are still multiple budget-friendly assistance available, such as:

1. Naltrexone co-pay program
2. Online coupons for cost-saving
3. Government assistance programs for low-income families

Naltrexone Prescription Program in Fairlawn, New Jersey

Now that we have covered that Naltrexone injections and tablets are insurance-covered, the next step is to get information on monthly prescriptions and locate a credible facility for Naltrexone injections near you.

Who is Eligible for Naltrexone Prescription?

Naltrexone is a recovery maintenance medicine for people who have completed alcohol or opioid detox. This medication blocks the euphoric effects (feelings of high) of opioids and alcohol, which discourages a person from using drugs. Moreover, it is an excellent drug to reduce cravings, which in turn helps in maintaining sobriety.

 You are likely a candidate for Naltrexone if:

1. You do not have any allergy to any active and inactive ingredients in Naltrexone
2. Above 18 years of age
3. Have not used any opioids or drugs in last 7-14 days
4. Should not consume alcohol while on Naltrexone treatment 

Please note: It is important to inform your healthcare provider if you are using opioids or other medications. Certain medications interact negatively with Naltrexone and may impact your health.

What Kind of Doctor Can Prescribe Naltrexone?

Any doctor with a valid license can prescribe Naltrexone since it has low abuse potential. This includes:

1. Physicians
2. Nurse practitioners
3. Physician assistants
4. Addiction doctors

But, we recommend you get a prescription from a specialized addiction doctor as they know the associated side effects. Taking Naltrexone can make you more sensitive to opioids. Even taking small doses of opioids can increase the risk of fatal conditions such as loss of consciousness, breathing difficulties, and respiratory depression.

So, it is advised to take Naltrexone along with a full comprehensive addiction treatment program to become sober once and for all.

Where to Get a Naltrexone Prescription?

You can get a Naltrexone prescription from ChoicePoint, a leading rehab in New Jersey. We provide online and in-person prescriptions. We have a very efficient, simple, and fast process.

1. Call 844.445.2565 to schedule an appointment or request a callback
2. Our doctors will evaluate your condition
3. Your prescription will be emailed to you
4. You can take your prescription to the nearest pharmacy to get a refill

ChoicePoint Monthly Naltrexone Injection Administration Program in New Jersey 

ChoicePoint, a Medicare and Medicaid-accepting rehab, is led by top-of-the-field doctors who can safely administer Naltrexone. Not only do we provide  Naltrexone treatment, but we also offer addiction treatment programs 7 days a week. So, if you have work commitments, you can still get your treatment on weekends. Our additional services include :

1. Substance abuse counseling
2. At-home drug testing kits
3. Online and in-person therapy
4. Outpatient and inpatient addiction treatment programs
5. Comprehensive alcohol and opioid detox

Call 844.445.2565 to schedule an appointment for a brighter and addiction-free tomorrow.

FAQs Related to Insurance-covered Naltrexone Injections

Find answers to the most asked questions related to your question, “ is Naltrexone injection covered by insurance?”

How Much Does a Naltrexone Injection Cost?

A 380 mg Naltrexone injection may cost anywhere from $1500 to $2000 without insurance. The actual cost depends on many factors, such as state taxes, discounts, and prescribed dosage.

Where Can I buy Naltrexone?

Naltrexone is a controlled medication. It is unavailable over the counter, and you need a valid prescription to buy Naltrexone. Once you have the prescription, you can buy it from any pharmacy, a rehab center, or your nearest hospital.

How Much Naltrexone Should I Start With?

Your doctor will recommend the dosage that best fits your needs. Initially, 25 mg may be recommended, which may be increased to 50 mg per day. But please follow your doctor’s advice for dosage or contact certified doctors at ChoicePoint 844.445.2565.

Does Blue Cross Cover Naltrexone?

Yes, Blue Cross Blue Shield and Horizon Blue in NJ cover the cost of Naltrexone. ChoicePoint is also in-network with Blue Cross Blue Shield and Horizon Blue NJ. You can verify your insurance to get started. 

SOURCES

1. Srivastava, A. B., & Gold, M. S. (2018). Naltrexone: A History and Future Directions. Cerebrum : the Dana forum on brain science, 2018, cer-13-18.
2. Bookwalter, C. (2023, October 26). Naltrexone cost 2024: Coupons and more. MedicalNewsToday. Retrieved September 24, 2024, from https://www.medicalnewstoday.com/articles/drugs-naltrexone-cost
3. VIVITROL® Co-Pay Savings Program | Get Your Co-pay Card. (n.d.). Vivitrol. Retrieved September 24, 2024, from https://www.vivitrol.com/alcohol-dependence/co-pay-savings-program