I found an issue with Rhino Inside not loading while have the latest version of VRay for Revit installed.
I recieved the -200 Error Message
I then went through all of my add in’s and was able to pin it to VRay.
Here are the version of Rhino.Inside, Rhino and Revit
Here is the latest version of VRay
I disabled the Vray Add In and Rhino.Inside will Launch