What This Treatment Is

Vivitrol is the brand name for extended-release naltrexone, a monthly intramuscular injection FDA-approved for both opioid use disorder (OUD) and alcohol use disorder (AUD). Pharmacologically it’s the same molecule as oral naltrexone — a full opioid antagonist that blocks the effects of opioids and blunts the reward from alcohol — delivered in a formulation that maintains therapeutic levels for approximately four weeks per injection.

Why the Monthly Formulation Matters

The clinical advantage of Vivitrol is adherence support. Daily oral medication requires consistent daily action; missed doses reduce efficacy. Vivitrol collapses that decision into one monthly clinical visit. For patients whose lives, work, or environment make daily adherence a real challenge, Vivitrol removes the biggest failure point for antagonist treatment. It’s a fit when the medication is right but the delivery mechanism is the constraint.

Who Vivitrol Is For

Vivitrol is appropriate for adults with opioid or alcohol use disorder who have completed opioid detoxification (typically 7–14 days off, depending on the opioid) and who want antagonist treatment. It’s a common choice for patients transitioning out of residential care to outpatient, patients whose environment doesn’t support daily adherence, and patients with cognitive or memory challenges that make daily dosing hard.

Our Care Model: Specialty-Led, Distinct Primary Tracks

Elevated Healing operates separate primary treatment tracks for Mental Health and Substance Use, each led by the appropriate clinical specialty from day one. When both are present, our teams coordinate care across tracks so the full clinical picture is addressed without collapsing treatment into a single generalized program.

This is different from a blended or generalized model. Read more on our Care Model page.

Elevated Healing’s Specialty-Led Approach

Vivitrol at our Woodland Hills campus is administered by board-certified psychiatric providers or nursing staff under their supervision. The clinical structure focuses on getting the timing right and pairing the injection with substantive therapy.

The process:

  • Evaluation and confirmation of opioid-negative status at intake (urine screen, sometimes a naloxone challenge).
  • First injection at the Woodland Hills campus, administered intramuscularly in the gluteal muscle.
  • Monthly return visits for the next injection — with a clinical touchpoint each time to review progress, adjust the therapy plan, and manage any side effects.
  • Concurrent therapy (CBT, motivational enhancement, EMDR when trauma is present).
  • Liver monitoring at defined intervals.
Evidence base. Extended-release naltrexone has FDA approval and consistent efficacy for both opioid and alcohol use disorders when combined with therapy, per SAMHSA and APA guidance.

Access at Our Woodland Hills Campus

Our campus is at 21250 Califa St, Ste 114, Woodland Hills, CA 91367, in the West San Fernando Valley. Access is straightforward:

  • From the 101 (Ventura Freeway) — exit at De Soto Avenue or Winnetka Avenue and drive a short distance north.
  • From the 118 (Ronald Reagan Freeway) — take Winnetka or De Soto south into the West Valley.
  • Nearby communities — Warner Center, Winnetka, West Hills, Canoga Park, Tarzana, and Encino are all a short drive.
  • Telehealth — after your initial in-person assessment, most follow-up psychiatric visits can be done by video for California residents.

Parking and check-in details are provided at intake. If accessibility accommodations are needed, tell our admissions team when you call.

Program Levels That Deliver This Care

This service is delivered inside the level of care that matches your clinical need at intake. Level of care can shift over time as treatment progresses.

Partial Hospitalization (PHP)

Structured day program, five days per week, with psychiatric oversight and integrated therapy.

Learn about PHP

Intensive Outpatient (IOP)

Three-to-five sessions per week that allow work or school to continue.

Learn about IOP

Outpatient (OP)

Weekly therapy plus regular psychiatric visits — well-suited to step-down maintenance.

Learn about OP

Telehealth Follow-Up

Video visits with the psychiatric provider, available across California for eligible patients.

Learn about telehealth

Insurance, Cost, and Getting Started

Most commercial insurance plans cover vivitrol under mental health and substance use disorder benefits, which are subject to federal parity requirements under the Mental Health Parity and Addiction Equity Act. Parity means insurers cannot impose stricter limits on behavioral health services than they apply to physical health services — a real legal protection worth knowing you have when you call.

The first step is a conversation with our admissions team. This call is free, confidential, and carries no obligation. During it, we:

  • Verify your insurance benefits within one business day.
  • Confirm what’s covered, what your copay or coinsurance will be, and whether prior authorization applies.
  • Start any required prior authorization on your behalf so you’re not stuck on hold with your insurer.
  • Schedule a clinical evaluation — usually within a few business days of your first call, sooner when the situation is time-sensitive.

If insurance doesn’t cover the service or your plan design doesn’t fit, self-pay options can be discussed. There is no charge to have this conversation. Reach us at (747) 888-3000 or use our insurance verification form.

What Progress Looks Like

Recovery through vivitrol is not a straight line, and durable clinical outcomes rarely happen in weeks. Realistic timelines matter here more than optimistic promises. Most patients notice measurable improvement in the first month of consistent treatment — reduced cravings, more stable mood, better sleep, easier engagement with therapy. Substantive behavioral change typically takes root over three to six months.

Progress is reviewed at every clinical visit. We measure it in specifics: frequency of the target behavior, functional recovery in work and relationships, sleep quality, and — where medications are involved — how well the pharmacology is holding cravings and side effects. When something isn’t working, we adjust. That might mean a dose change, a therapy focus shift, or a step up or down in level of care. The plan follows the patient’s clinical picture, not the other way around.

Setbacks are treated as clinical data, not moral failure. If a relapse or symptom flare happens, the team’s job is to understand what led to it and refine the plan. Patients are not discharged for a relapse. Long-term recovery is often what happens after the acute treatment phase ends, and we plan for that from the first visit — through aftercare planning, coordinated hand-offs, and telehealth follow-up available across California.

Confidentiality and HIPAA Protections

Treatment records at Elevated Healing are protected under the Health Insurance Portability and Accountability Act (HIPAA) and, for substance use records specifically, under 42 CFR Part 2 — a federal regulation providing additional protection for substance use disorder treatment information. That means treatment status and clinical details are not disclosed to family members, employers, or third parties without your written authorization, except in narrowly defined legal circumstances (imminent harm, court order).

Practical protections include HIPAA-compliant scheduling and communication systems, secure insurance verification channels, and billing structured to minimize what appears on statements. Patients with heightened confidentiality concerns can request specific accommodations at intake — arrival timing, check-in flow, telehealth-first scheduling — and our admissions team will confirm what’s available.

Frequently Asked Questions

How is Vivitrol different from oral naltrexone?
It’s the same medication (naltrexone), same mechanism (opioid antagonist). The difference is the delivery: Vivitrol is a monthly intramuscular injection; oral naltrexone is a daily tablet. Efficacy is similar when adherence is equal — the practical advantage of Vivitrol shows up when daily adherence is the barrier.
Does the injection hurt?
The injection is delivered into a large muscle (gluteal) and takes only a few seconds. Most patients report brief discomfort at the injection site, sometimes with mild soreness for a day or two afterward. Serious injection-site reactions are uncommon but should be reported.
What if I need pain medication after starting Vivitrol?
Because naltrexone blocks opioid receptors, standard opioid pain medications will not work while Vivitrol is active. Non-opioid pain management is usually sufficient. For planned surgery or an emergency, the treatment team should be notified so alternatives can be planned.
Can I switch from Suboxone to Vivitrol?
Yes, but the transition needs to be planned. Buprenorphine must be fully cleared (typically 7–14 days) before Vivitrol can be started safely. This is coordinated with your psychiatric provider — sometimes with a brief residential stay to manage the interval.
What if I miss my injection date?
Contact your provider immediately. A short delay usually isn’t a problem, but going beyond 4–5 weeks without a dose means opioid receptors will start to become responsive again, which changes the clinical picture. We’ll get you rescheduled quickly.
Does insurance cover Vivitrol?
Most commercial insurance plans cover Vivitrol, though prior authorization is common. Our admissions team handles prior authorization on your behalf and verifies benefits within one business day. Reach us at (747) 888-3000.

If You’re in Crisis

If you or someone you love is in immediate crisis, help is available 24/7. You are not alone.

Trusted External Resources

Independent, evidence-based sources on the topics covered on this page:

SAMHSA — Naltrexone →

SAMHSA’s clinical overview of naltrexone including extended-release.

FDA — Information About MOUD →

FDA drug information on naltrexone and other OUD medications.

National Institute on Drug Abuse →

NIH institute publishing research on addiction and treatment.

American Psychiatric Association →

APA’s guidance on substance use disorders.

National Institute on Alcohol Abuse and Alcoholism →

NIH institute researching alcohol use and treatment.

Ready to Talk About Vivitrol?

Our admissions team can walk you through what treatment looks like, verify insurance benefits, and answer questions. Conversations are confidential.

Call us confidentially at (747) 888-3000 — or request a consultation online.

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