Interested in being a new Vivitrol patient? Complete the following forms and call the pharmacy to schedule an appointment today.

Open Mon to Fri 9 am – 6 pm & Sat 10 am – 3 pm
Phone: 502.690.4462

Patient Enrollment Form

Vivitrol Quick Sheet

Vivitrol Medication Guide

If you are in need of any relevant lab work, click on the following link:

Schedule My Labs

 

Vivitrol Initiation Price List:  

New Start Appointment    (1.5 hrs)                         $100

        UDS, oral tolerance test, pregnancy test (females)

Follow-up Appointment   (30 min)                        $50

        Within 26-30 day window

         UDS, pregnancy test (females)

Follow-up Appointment   (1.5 hrs)                         $100

        Outside of 30 day window

         UDS, oral tolerance test, pregnancy test (females)

CMP from Ulta Labs                                                   $21

Hepatitis C Screen (Optional)                                  $24

 

Vivitrol Prescription Appointments Price List:

First Appointment     (1 hr)                                      $50

          UDS, oral tolerance test

Follow-up Appointment   (20 min)                        $20

        Within 26-30 day window

Follow-up Appointment   (20 min)                        $30

          Outside of 30 day window

          UDS