Naltrexone
Also known as: Revia, Vivitrol.
Wholesale (NADAC) cost for every strength and dosage form — the price pharmacies pay, published weekly by CMS. Not your out-of-pocket price.
Wholesale (NADAC) prices — every strength & form
| Strength | Form | NADAC / unit | Package | Class |
|---|---|---|---|---|
| 50 MG | Tablet | $1.19 / unit | — | Generic |
| 380 MG | Vial | $1,717.19 / unit† | — | Brand |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. Brand list prices fall after confidential rebates. † Package size not curated yet — priced per single unit/mL, not per full pen, inhaler, or vial.
NADAC week of 2026-07-01 · updated weekly · source CMS
Medicaid & Medicare spending · 2024
In 2024, Medicaid paid $386,125,093 gross for Naltrexone across 884,815 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$23,023,695 gross (retail pharmacy only; excludes Part B).
Gross program spending, before rebates — not what patients pay out of pocket. Brand net cost is materially lower after confidential rebates; generics are close to net.
Source: Medicaid SDUD 2024 · Medicare Part D 2024 · CMSBuy it with a cash program — no insurance needed
50 MG · Tablet
TrumpRx discount card$28.19 · 30 tablets — $46.13 · 60 tablets — $64.07 · 90 tablets
Cost Plus Drugs (mail)$28.19 · 30 tablets — $46.13 · 60 tablets — $64.07 · 90 tablets
Amazon Pharmacy (mail)$35.30 · 30 tablets — $70.10 · 60 tablets — $92.30 · 90 tablets
Fixed program prices at participating pharmacies or by mail. Covered strengths & quantities only; program terms apply. TrumpRx card & mail-order prices as listed on trumprx.gov (updated weekly). Mail orders take days to arrive.