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vivitrol patient assistance form pdf

by Wilburn Sanford Published 2 years ago Updated 1 year ago
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What is Vivitrol2gether?

Vivitrol2gether is a customized patient support services program to help you and your patients in their recovery journey from opioid dependence or alcohol dependence throughout fulfillment and transition of care. With Vivitrol2gether, you choose the VIVITROL fulfillment features that work best to support your patients.

Who qualifies for VIVITROL?

You are 18 years or older. You are not using any federal or state healthcare programs to pay for your VIVITROL prescription. You are being treated for alcohol dependence or opioid dependence.

What is the NDC for VIVITROL?

VIVITROL - NDC drug/productNDCTrade NameLabeler Name65757-0300VIVITROLAlkermes, Inc.65757-0301VIVITROLAlkermes, Inc.

How do you administer VIVITROL injection?

The recommended dose of VIVITROL is 380 mg delivered intramuscularly every 4 weeks or once a month. The injection should be administered by a healthcare professional as an intramuscular (IM) gluteal injection, alternating buttocks for each subsequent injection, using the carton components provided (2 and 16.1).

Can medical assistants give Vivitrol injections?

Injectable naltrexone should be administered only by a medical professional (e.g., physician, nurse, physician assistant) who can administer IM (gluteal) injections.

How long should Vivitrol be used?

Most medical professionals will recommend that Vivitrol be used for at least one year. When speaking to a physician about Vivitrol injections within a medication assisted treatment program, it can be beneficial to also discuss how long you might remain on Vivitrol.

Is there a generic form of naltrexone?

Naltrexone (Vivitrol) is available as a generic medication and may be significantly cheaper compared to the brand version. Unless there is a specific reason you need the brand, the generic medication will be a better value.

Is vivitrol a REMS drug?

It is approved effective on the date of this letter. The REMS for Vivitrol (naltrexone) was originally approved on March 22, 2010, and the most recent REMS modification was approved on June 7, 2019. The REMS consists of a Medication Guide, a communication plan, and a timetable for submission of assessments of the REMS.

What is the ICD 10 code for naltrexone?

ICD-10-PCS Code HZ94ZZZ - Pharmacotherapy for Substance Abuse Treatment, Naltrexone - Codify by AAPC.

Can pharmacists give VIVITROL?

Your office can order VIVITROL directly from a distributor or through a pharmacy (specialty or other). Please see Important Safety Information on page 9. Also see Prescribing Information and Medication Guide. Review the Medication Guide with your patients.

What size needle do you use for VIVITROL?

VIVITROL is provided as a kit containing a vial each of VIVITROL microspheres and diluent, one 5-mL syringe, one ½-inch 20-gauge preparation needle, and two 1½-inch 20-gauge administration needles with safety device.

How often do you get the VIVITROL shot?

VIVITROL is an extended-release, microsphere formulation of naltrexone designed to be administered by IM gluteal injection every 4 weeks or once a month.

Can pharmacists give Vivitrol?

Your office can order VIVITROL directly from a distributor or through a pharmacy (specialty or other). Please see Important Safety Information on page 9. Also see Prescribing Information and Medication Guide. Review the Medication Guide with your patients.

Is Vivitrol more effective than naltrexone?

The study, sponsored by the National Institute on Drug Abuse, found that a monthly shot of naltrexone (sold as Vivitrol) is as effective as its main competitor, the daily pill of buprenorphine and naloxone (sold as Suboxone).

What can naltrexone be used for?

Intramuscular extended release Naltrexone is a medication approved by the Food and Drug Administration (FDA) to treat both Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD) as a Medication-Assisted Treatment (MAT) option.

Is there a generic for Vivitrol?

No. There is currently no therapeutically equivalent version of Vivitrol available in the United States. Note: Fraudulent online pharmacies may attempt to sell an illegal generic version of Vivitrol. These medications may be counterfeit and potentially unsafe.

What is a Vivitrol2Gether informational sheet?from vivitrolhcp.com

This informational sheet was created to instruct healthcare professionals and office staff using the Vivitrol2gether SM Patient Support Services Portal. From tracking patient fulfillment details to locating patient statuses it guides you through every resource provided in the portal.

What is a visit from a vivitar representative?from vivitrolhcp.com

Request a visit from a VIVITROL representative to learn more about how VIVITROL may help your appropriate patients with opioid dependence or alcohol dependence .

Is vivitar blockade surmountable?from vivitrolhcp.com

Although VIVITROL is a potent antagonist with a prolonged pharmacological effect, the blockade produced by VIVITROL is surmountable. The plasma concentration of exogenous opioids attained immediately following their acute administration may be sufficient to overcome the competitive receptor blockade. This poses a potential risk to individuals who attempt, on their own, to overcome the blockade by administering large amounts of exogenous opioids.

Should patients be made aware of the risk associated with precipitated withdrawal?from vivitrolhcp.com

Patients should be made aware of the risk associated with precipitated withdrawal and be encouraged to give an accurate account of last opioid use.

Does vivitar cause liver problems?from vivitrolhcp.com

Cases of hepatitis and clinically significant liver dysfunction have been observed in association with VIVITROL. Warn patients of the risk of hepatic injury; advise them to seek help if experiencing symptoms of acute hepatitis. Discontinue use of VIVITROL in patients who exhibit acute hepatitis symptoms.

Is vivitar part of a comprehensive management program?from vivitrolhcp.com

VIVITROL should be part of a comprehensive management program that includes psychosocial support.

What is a Vivitrol2Gether enrollment form?from vivitrolhcp.com

An enrollment form for patients who wish to enroll in the Vivitrol2gether dedicated case manager program. This form includes everything from patient information, insurance information, eligibility for Co-pay Savings Program, prescriber information, and all necessary patient and healthcare provider signatures. (The HCP can help the patient by working with the patient to complete the form.)

Where to report side effects?from samhsa.gov

Patients and practitioners are encouraged to report all side effects online to MEDWatch, FDA’s medical product safety reporting program for health care professionals, patients, and consumers or by calling 1-800-FDA-1088.

How often is Naltrexone given?from samhsa.gov

The pill form is taken daily and the extended-release injectable is administered every four weeks, or once a month , by a practitioner. Naltrexone is one component of a comprehensive treatment plan, which includes counseling and other behavioral health therapies to provide patients with a whole-person approach.

What is the FDA approved drug for alcohol use disorder?from samhsa.gov

Naltrexone. Main page content. Naltrexone is a medication approved by the Food and Drug Administration (FDA) to treat both alcohol use disorder (AUD) and opioid use disorder (OUD).

What to tell your healthcare provider about your medications?from vivitrol.com

Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your healthcare provider if you take any opioid-containing medicines for pain, cough or colds, or diarrhea.

Is vivitar blockade surmountable?from vivitrolhcp.com

Although VIVITROL is a potent antagonist with a prolonged pharmacological effect, the blockade produced by VIVITROL is surmountable. The plasma concentration of exogenous opioids attained immediately following their acute administration may be sufficient to overcome the competitive receptor blockade. This poses a potential risk to individuals who attempt, on their own, to overcome the blockade by administering large amounts of exogenous opioids.

Is naltrexone a valid insurance?from drugs.com

Prices are for cash paying customers only and are not valid with insurance plans. This naltrexone price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

What is a Vivitrol2Gether informational sheet?from vivitrolhcp.com

This informational sheet was created to instruct healthcare professionals and office staff using the Vivitrol2gether SM Patient Support Services Portal. From tracking patient fulfillment details to locating patient statuses it guides you through every resource provided in the portal.

What is a visit from a vivitar representative?from vivitrolhcp.com

Request a visit from a VIVITROL representative to learn more about how VIVITROL may help your appropriate patients with opioid dependence or alcohol dependence .

Is vivitar blockade surmountable?from vivitrolhcp.com

Although VIVITROL is a potent antagonist with a prolonged pharmacological effect, the blockade produced by VIVITROL is surmountable. The plasma concentration of exogenous opioids attained immediately following their acute administration may be sufficient to overcome the competitive receptor blockade. This poses a potential risk to individuals who attempt, on their own, to overcome the blockade by administering large amounts of exogenous opioids.

Should patients be made aware of the risk associated with precipitated withdrawal?from vivitrolhcp.com

Patients should be made aware of the risk associated with precipitated withdrawal and be encouraged to give an accurate account of last opioid use.

Does vivitar cause liver problems?from vivitrolhcp.com

Cases of hepatitis and clinically significant liver dysfunction have been observed in association with VIVITROL. Warn patients of the risk of hepatic injury; advise them to seek help if experiencing symptoms of acute hepatitis. Discontinue use of VIVITROL in patients who exhibit acute hepatitis symptoms.

Is vivitar part of a comprehensive management program?from vivitrolhcp.com

VIVITROL should be part of a comprehensive management program that includes psychosocial support.

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