Alkermes

VIVITROL - Cost

Last Updated: April 1st, 2024

HCPCS:

J2315

HCPCS Code Descriptor:

Injection, naltrexone, depot form, 1 mg

Medicare Payment Limit:

The VIVITROL Medicare Payment Limit is $3.967

Average Sale Price:

VIVITROL ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The VIVITROL Medicare Co-insurance percentage is 20%. VIVITROL's Medicare Co-insurance amount is $0.79 per HCPCS unit.

APC Code:

The Vivitrol APC Code is: 0759

APC Payment Limit:

The APC Payment Limit for VIVITROL is available. Login to view.

Vivitrol Cost Information:

Vivitrol is aligned to the J Code: J2315 which became effective in January of 2007. Since May of 2020, Vivitrol has taken roughly annual increases to its WAC and AWP list prices. Vivitrol's average sales price has remained within 15% of its WAC price over this time period, with increases trailing by two quarters.

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Vivitrol’s wholesale acquisition cost (WAC) information was last updated on:
January 5, 2024
Vivitrol’s average wholesale price (AWP) information was last updated on:
January 5, 2024