DrugDashboards

Vivitrol

naltrexone · Kit · Alkermes, Inc.

NDC 65757-0300-01 · 1 KIT in 1 CARTON * 4 mL in 1 VIAL, GLASS * 4 mL in 1 VIAL, GLASS · NDA · View full market →

The short version

Just 2 companies supply this market — thin enough that a single exit would be felt immediately. The price has held steady around $1716.48 per unit over the past year. Put together: this looks like a healthy supply — the boring kind, which is exactly what you want.

The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.

One drug, every price

The same NDC has different prices depending on who is paying. Units differ between rungs — compare within a rung over time, not rung against rung, unless the units match.

ⓘ How this was built
Data sources
  • CMS NADAC (pharmacy acquisition, weekly)
  • CMS Part B ASP quarterly payment limits
  • CMS Maximum Fair Prices (IRA negotiated, NDC-level)
  • Medicare Part D Spending by Drug (data.cms.gov, name-matched)
  • VA FSS / Big4 federal contract prices (va.gov, twice monthly)
  • ACA Federal Upper Limits + weighted AMP (data.medicaid.gov, monthly)
  • California SB-17 WAC filings (list price, per package)
Method

Each rung is the newest figure for this NDC from one federal price system, shown with its own unit. Part D is matched by drug name because CMS publishes no NDCs there; it is gross spending, before confidential rebates.

Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.

  • Pharmacies pay (NADAC)$1,716.48per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Medicare Part B pays (ASP+6%)$4.53per billing unit (1 MG)HCPCS J2315 · Jul 1, 2026
  • Part D plans paid (avg)$1,621.97per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$1,733.29per unitnegotiated price across 4,263 plans — before rebates · Apr 1, 2026

Medicare Part D

All Part D pricing →
ⓘ How this was built
Data sources
  • CMS quarterly Prescription Drug Plan Formulary & Pricing files (SPUF)
Method

Negotiated 30-day point-of-sale unit prices and formulary terms aggregated across every unsuppressed Part D and MA-PD plan for the quarter shown. Point of sale means gross of confidential rebates. CMS publishes one representative NDC per drug concept (RxCUI) rather than every package, so these figures come from CMS's representative package for the same drug — matched on generic name, strength, and dosage form. Estimated from MedPAC's program-wide rebate aggregates (June 2023: DIR = 29% of gross Part D spending; brand rebates ≈ 25–40% of gross, generics minimal). Actual rebates are confidential and vary widely by drug — this is a range, not a fact about this drug.

Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.

Plans pay at point of sale
$1,733.29per unit
middle half $1,693.21$1,786.16 · 4,263 plans · Apr 1, 2026
Est. net of rebates
$1,039.97–$1,299.97
brand drug — est. 25-40% rebate off the price at left
Coverage & restrictions
78%of plans cover it
tier 5 · prior auth 0% · step therapy 0% · qty limit 22%

*No drug-level rebate is public — the estimate applies MedPAC's program-wide brand rebate range to this drug's gross price. Tracked here for 10 quarters since 2024.

NADAC price per unit

$0$1000.00$2000.00Feb 2013Sep 2026$1716.48
46 price points · per EASource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$1,791.76
Reported to Texas DSHS · 2026 annual filing · Alkermes Inc.

Manufacturer list price as filed — not what pharmacies actually pay after discounts.

Medicare Part B (ASP)

Payment limit per 1 MG
$4.525
HCPCS J2315 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$363.6M
238,171 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

20Low risk

Some pressure is visible, but not much — here’s everything the score found to count.

  • 2 active manufacturers+20

The score counts pressure that is already visible — fewer makers, shortages, recalls, falling prices. 0 means none of it; 100 means all of it at once. Recomputed daily · as of Sep 3, 2026

90-day shortage risk (model v2)

0.1%chance of a new FDA shortage posting for naltrexone (other) in the next 90 days

sole-source market · price up 6% YoY

For scale: the typical drug’s chance is about 0.1% — this one is in ordinary territory.

Backtested statistical model over the whole market, not this package alone. Model details →

Is this a "specialty" drug?

There's no legal definition — it meets 2 of 6 public criteria. Why that matters →

  • Part D specialty tier · median tier 5 across plans
  • Costs ≥ $950/fill · avg $1,641.70 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA021897
TE code
Approval date
Apr 13, 2006
Patents / exclusivity
1 patents, 0 exclusivities
TypeNumber / codeExpires
patent7919499Oct 15, 2029

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

  • Class II · TerminatedSep 26, 2019
    Alkermes, Inc.Labeling: Not Elsewhere Classified. Drug product kit recalled due to 1 inch needles being placed in the 1 1/2 inch needle cardboard sleeve labelled as administration needles. The product vial is not impacted.
  • Class II · TerminatedAug 8, 2019
    Alkermes IncLabeling: Not Elsewhere Classified. Drug product kit recalled due to 1 inch needles being placed in the 1 1/2 inch needle cardboard sleeve labelled as administration needles. The product vial is not impacted.
  • Class II · TerminatedMar 4, 2014
    Alkermes, Inc.Customer complaints for failure to deliver the dose.
  • Class II · TerminatedNov 6, 2012
    Alkermes, Inc.Lack of Assurance of Sterility: Product did not meet the criteria for container closure integrity testing during routine 24 month stability testing.

Manufacturers of naltrexone (Kit)

LabelerStrengthFirst seenLast seen
Alkermes, Inc.Jul 15, 2026Sep 3, 2026
Amneal Pharmaceuticals NY LLCJul 15, 2026Sep 2, 2026

Roster from daily NDC Directory diffs — first/last seen dates start July 2026.

Cite this page

DrugDashboards, "Vivitrol — NDC 65757-0300-01," retrieved September 3, 2026, https://drugdashboards.com/drug/65757030001.

Free to cite with attribution — see how the data is put together.