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Even without insurance coverage, naltrexone is an affordable treatment option for alcohol use disorder.
Quick Answer
Without insurance, oral generic naltrexone typically costs between $25 and $100 a month for the medication alone, depending on the pharmacy.
Telehealth bundled plans, which include the prescribing clinician, follow-up care, and shipping, range from about $66 to $89 a month.
Insurance coverage, when available, typically reduces the cost by about 50%. Naltrexone is generic, so it's one of the more affordable evidence-based medications for alcohol use disorder.
Key Takeaways
- The wide $25–$100 range exists because some prices are medication-only and others bundle the clinician visit and follow-up.
- Generic naltrexone tablets are the inexpensive form. The brand-name injectable (Vivitrol) is much more expensive.
- Telehealth pricing through Choose Your Horizon ranges from $66 to $89 a month, all-inclusive.
- Even at the higher end, naltrexone is almost always cheaper than the drinking it's meant to reduce.
- Some Choose Your Horizon plans are eligible for insurance coverage in select states.
What You'll Learn:
- The average price range for naltrexone medication without insurance
- What you'd typically pay with insurance coverage
- Why there's a wide price range for prescription naltrexone
- What to consider when comparing naltrexone prices
If you're considering naltrexone or already taking it to curb alcohol consumption, the price probably matters, especially without insurance. You may have already noticed that naltrexone prices vary significantly from one source to another.
Even without insurance coverage, taking naltrexone daily is much cheaper than drinking alcohol on a regular basis. More importantly, it's an investment in your health. The only real question is how much you'll likely pay.
How Much Does Naltrexone Cost Without Insurance?
Naltrexone is a generic prescription drug, which keeps the cost low. But pricing varies because of dosage, related services, and the source you buy from.
In a typical U.S. retail or telehealth setting, expect to pay $25 to $100 a month for naltrexone without insurance.
The full prescribing details for each form are on the FDA naltrexone label and the FDA Vivitrol label.
Why Is There Such a Wide Price Range?
The range above is broad for a reason. Some prices include only the medication. Others bundle the doctor's visit, follow-up care, and shipping.
At the low end of the spectrum is what you'll pay when you have a prescription from one source and pick up generic medication at a pharmacy that offers a discount card. The higher end is for all-inclusive telehealth plans where you get the prescription, follow-up care, and the medication shipped to your home.
If you're comparing naltrexone costs with and without insurance, the provider matters a lot. Some providers are eligible for insurance coverage; others aren't. When naltrexone treatment is covered by insurance, it usually reduces the cost by about 50%.
What Should You Consider When Comparing Naltrexone Prices?
We all want to make sure we're getting the best value when we're paying for a prescription. Value comes second only to safety. With that in mind, here's what to weigh.
Dosage, The standard dose is 50 mg tablets, but naltrexone for alcohol use comes in a range of doses. The number of doses prescribed also impacts price, since the medication is generally taken daily.
Insurance Eligibility, Naltrexone providers covered by insurance have proven to be legitimate sources of medication. You can take your medication with confidence knowing it's safe whether or not your specific plan covers it.
Convenience, Will you have to pick up the medication, or will it be shipped? Do you need to remember to reorder every month, or is it automatic? Some options are more convenient, which has a real (if hidden) cost.
Extra Services, Some providers like Choose Your Horizon offer much more than the medication. The monthly cost may be slightly higher than buying generic tablets alone, but you also get clinician care, follow-up, support resources, and shipping, services that meaningfully improve outcomes for the same total spend.
Choose Your Horizon offers prescription naltrexone plans that make curbing alcohol use affordable and convenient. The all-inclusive plans range from $66 to $89 a month, and many are eligible for insurance coverage in select states.
Support, community, clinician visits, access to qualified therapists, a verified medication source, convenience, discretion, you get all of it with Choose Your Horizon.
How Does Naltrexone's Cost Compare to the Cost of Drinking?
This is where the math really matters. People who drink heavily often spend $100–$500 a week on alcohol alone, before factoring in:
- Hangover-day productivity losses
- Ride shares, parking, and tickets
- Health and dental costs
- Higher insurance premiums after a DUI
Even at the top of the no-insurance price range, naltrexone costs less than what most chronic drinkers spend on a single weekend. For a deeper breakdown, see How Much Are You Really Spending on Alcohol vs. Naltrexone.
Frequently Asked Questions
Is naltrexone covered by Medicaid?
Yes, in most states. Medicaid plans typically cover naltrexone for alcohol use disorder. Specific coverage rules vary by state.
Can I use a pharmacy discount card to lower the cost?
Yes. Discount cards (like GoodRx) can lower the retail medication price for generic naltrexone, often into the $25–$50 range. They don't cover the cost of the clinician visit, which you still need to get a valid prescription.
Does insurance always cover naltrexone?
Not always, but coverage has expanded. Most major insurance plans now cover oral naltrexone for alcohol use disorder. Confirm with your insurer before assuming.
What's the cheapest legitimate way to get naltrexone?
If you already have a prescription, generic naltrexone with a pharmacy discount card is typically the cheapest medication-only option. If you don't have a prescription, an all-inclusive telehealth plan often ends up cheaper overall once you account for the clinician visit you'd otherwise need.
Why are some online prices much lower than $50/month?
If a price seems too good to be true, look closely at what's included. A $20/month "naltrexone" plan that doesn't include a clinician visit is missing the legal step required to get a valid prescription. The FDA's BeSafeRx program helps verify whether a pharmacy is legitimate.
Will my employer's HSA or FSA cover naltrexone?
Yes, naltrexone for a diagnosed condition like alcohol use disorder is generally an eligible expense under HSAs and FSAs. Keep your prescription and receipts for documentation.
Ready to Get Started?
Get started by taking the free Alcohol Use Assessment online to find out if naltrexone can help you reduce your drinking, and whether your insurance covers part of the cost. New patients can receive a 30% off discount.
