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Medically Reviewed Content
Updated: May 2026
Sources: SAMHSA, NIDA

Buprenorphine Treatment Centers in Alabama

Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026

Our directory lists 73 buprenorphine providers across Alabama, with the largest concentrations in Birmingham (14), Huntsville (7) and Mobile (5).

Alabama recorded 1,608 drug overdose deaths in 2023 — a 33.9-per-100,000 age-adjusted rate that placed the state in the upper third of U.S. mortality. Buprenorphine has become the most widely accessible Medication-Assisted Treatment option here because Alabama Medicaid covers Suboxone, Subutex, Sublocade, and the generics without prior authorization, while methadone remains restricted to 17 federally certified Opioid Treatment Programs concentrated in Birmingham, Huntsville, and Mobile. NWVCIL's directory tracks 67 buprenorphine providers across the state — 14 of them in greater Birmingham, 7 in Huntsville, and 5 in Mobile. For Alabamians outside the I-65 corridor, buprenorphine is typically prescribed by a primary-care physician, a Federally Qualified Health Center, or a rural-health clinic whose clinicians have completed the federal MAT training. 94 of the 125 verified facilities in our directory offer telehealth-supported MAT, which is significant given that every Alabama county has a primary-care provider shortage designation in some portion of the county. The Alabama Department of Mental Health licenses and inspects OTPs under SAMHSA's 42 CFR Part 8 framework, and 83 facilities in our directory accept Medicaid. If you or someone you know is starting buprenorphine treatment in Alabama, the standard pathway is to book an intake assessment with an MAT-certified clinician, complete a brief withdrawal-stabilization period if needed, and receive a first prescription within 1–3 days. Most providers offer same-week induction. SAMHSA's national helpline (1-800-662-4357) and the 988 Suicide and Crisis Lifeline are available 24/7.

Treatment landscape in Alabama:

  • Alabama reported 1,608 drug overdose deaths in 2023, an age-adjusted rate of 33.9 per 100,000 (CDC NCHS).
  • 67 facilities prescribe buprenorphine statewide and 17 are SAMHSA-certified methadone Opioid Treatment Programs; Birmingham, Huntsville, and Mobile carry the largest concentrations.
  • Alabama Medicaid covers buprenorphine and naltrexone; methadone for opioid use disorder is reimbursed only at licensed OTPs under Alabama Department of Mental Health oversight.
  • 94 of 125 verified facilities offer telehealth therapy, supporting MAT continuation in rural counties between in-person visits.

Buprenorphine in Alabama — By the Numbers

33.9

per 100,000 drug overdose mortality (CDC 2023)

1,608

total overdose deaths in Alabama (2023)

67

buprenorphine providers in our directory

94 / 125

facilities offering telehealth

83

accept Medicaid for treatment

17

SAMHSA-certified Opioid Treatment Programs

Top cities by buprenorphine provider density

Birmingham (14) · Huntsville (7) · Mobile (5)

Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026

Coverage & Regulations in AlabamaSources verified: 2026-05-14

Alabama Medicaid

Alabama Medicaid covers buprenorphine and naltrexone; methadone for opioid use disorder is covered only at licensed Opioid Treatment Programs.

State regulations

Opioid Treatment Programs in Alabama are overseen by the Alabama Department of Mental Health (ADMH) and must meet SAMHSA 42 CFR Part 8 standards.

How to access MAT in Alabama

Most Alabama OTPs cluster around Birmingham, Mobile, and Huntsville; rural patients typically access buprenorphine through primary-care OBOT providers.

SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Commonly Accepted Insurance in Alabama
  • Cash or self-payment65
  • Private health insurance47
  • Medicare43
  • Federal, or any government funding for substance use treatment programs42
  • Medicaid40
  • SAMHSA funding/block grants33
Available Treatment Settings in Alabama
  • Outpatient54
  • Outpatient methadone/buprenorphine or naltrexone treatment53
  • Regular outpatient treatment46
  • Intensive outpatient treatment24
  • Outpatient detoxification15

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Buprenorphine Treatment Providers in Alabama

Buprenorphine providers in Alabama

Filters:

Birmingham · 14 centers

Birmingham Metro Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Fellowship House Inc - Facility Image

Fellowship House Inc

Birmingham, AL

$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Tri County Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing

Huntsville · 7 centers

Huntsville Metro Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Pathfinder Inc - Facility Image

Pathfinder Inc

Huntsville, AL

$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Pathway Healthcare - Facility Image

Pathway Healthcare

Huntsville, AL

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Mobile · 5 centers

Metro Treatment of Alabama LP - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing
AltaPointe Health Systems Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Gadsden · 3 centers

Clearview at Riverview Reg Med Ctr - Facility Image
Insurance Accepted$$

Services:

Detoxification
BHG Gadsden Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Sign language services for the deaf and hard of hearing

Tuscaloosa · 3 centers

BHG Tuscaloosa Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing
Tuscaloosa VA Medical Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Sign language services for the deaf and hard of hearing
Kolbe Clinic - Facility Image

Kolbe Clinic

Tuscaloosa, AL

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Bessemer · 2 centers

BHG Bessemer Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Bessemer Neighborhood - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Cullman · 2 centers

BHG Cullman Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing
Lighthouse Inc - Facility Image

Lighthouse Inc

Cullman, AL

$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home

Daphne · 2 centers

Pathway Healthcare - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Placeholder image
$$

Services:

Substance use treatment

Dothan · 2 centers

SpectraCare Health Systems - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Jasper · 2 centers

MedPlex Inc Jasper - Facility Image
$$

Services:

Substance use treatment
Placeholder image

Kolbe Clinic

Jasper, AL

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Montgomery · 2 centers

Montgomery Metro Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing
Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Alabaster · 1 center

Shelby County Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Korean+2 more

Alexander City · 1 center

Placeholder image
$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Ashland · 1 center

Journey Detox and Recovery LLC - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Athens · 1 center

Pathway Healthcare - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Chelsea · 1 center

Kolbe Clinic - Facility Image

Kolbe Clinic

Chelsea, AL

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Clanton · 1 center

Chilton County Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Korean+2 more

Decatur · 1 center

Decatur Morgan Hospital - Facility Image
Insurance Accepted$$

Services:

Detoxification

Eufaula · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Florence · 1 center

Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Geneva · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Hamilton · 1 center

Pathway Healthcare - Facility Image

Pathway Healthcare

Hamilton, AL

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Madison · 1 center

Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Newton · 1 center

MedMark Treatment Centers - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Opelika · 1 center

East Alabama Mental Health Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Oxford · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Ozark · 1 center

SpectraCare Health Systems - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Pell City · 1 center

Twelve1 Healthcare - Facility Image

Twelve1 Healthcare

Pell City, AL

$$

Services:

DetoxificationSubstance use treatment

Phenix City · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Sheffield · 1 center

BHG Shoals Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Tallassee · 1 center

Kolbe Clinic - Facility Image

Kolbe Clinic

Tallassee, AL

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Troy · 1 center

Troy Regional Medical Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Tuskegee · 1 center

Central Alabama VA Healthcare System - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Warrior · 1 center

Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Showing 67 of 73 buprenorphine providers in Alabama. Browse all centers in Alabama

Frequently Asked Questions About Buprenorphine in Alabama

Can I do MAT if I also use alcohol or stimulants?

Yes. Using other substances does not disqualify you from buprenorphine. Most Alabama programs encourage honest disclosure at intake so the team can monitor for drug interactions, adjust the care plan, and refer you to parallel treatment for alcohol or stimulant use where indicated.

Are there any hidden fees at buprenorphine providers in Alabama?

Common extra charges include urine drug-screen add-ons ($10–$50), missed-appointment fees, and pharmacy dispensing fees for take-home methadone doses. Always ask for a written fee schedule before your first visit at any Alabama provider.

How do I enroll in Alabama Medicaid to pay for buprenorphine?

You can apply to Alabama Medicaid online at the Alabama state website, in person at a county office, or through buprenorphine providers that offer enrollment assistance. Most applications are decided within 45 days; emergency Medicaid may be available sooner for urgent care.

Will my private insurance cover buprenorphine treatment in Alabama?

Yes — under the Mental Health Parity and Addiction Equity Act and the Affordable Care Act, marketplace and employer health plans must cover MAT for OUD, including buprenorphine. Specific cost-sharing (copay, coinsurance, deductible) depends on your plan tier.

Can I transfer my methadone or buprenorphine prescription to another Alabama provider?

Yes. Your current Alabama clinic will send clinical records and dose history to the new provider with your written consent. For methadone, the receiving OTP verifies dose and last attendance before admission; for buprenorphine, transfers can happen within 24–48 hours.

Is buprenorphine a lifelong medication?

For some patients, buprenorphine is lifelong — the same way insulin or blood-pressure medication is. For others, treatment ends after sustained recovery. The decision to taper is always clinical, made together by patient and provider based on stability, not on arbitrary time limits.

What happens if no buprenorphine providers have immediate openings in my area?

Alabama’s opioid-response infrastructure funds bridge clinics, emergency-department induction, and telehealth buprenorphine specifically to fill same-day gaps. If the closest clinic has a waitlist, your intake counselor will refer you to the next nearest opening.

Will the clinic search my bag at the first visit?

No. Alabama buprenorphine providers follow federal 42 CFR Part 8 admission protocols — bag searches and invasive procedures are not part of intake. Clinics may require you to leave valuables in a locker during the intake session; confidentiality and dignity are priorities.

Can buprenorphine cause an overdose?

Methadone carries overdose risk during induction when the dose is being titrated, particularly in combination with benzodiazepines, alcohol, or other sedatives. Buprenorphine has a ceiling effect that lowers overdose risk. Naltrexone does not cause opioid overdose. Your Alabama clinic monitors risk closely.

Does Alabama have perinatal-MAT programs?

Yes. Most Alabama regions have perinatal-addiction programs coordinating OB care, MAT, and social support. Call 988 or SAMHSA 1-800-662-4357 for Alabama-specific referral. Birmingham-area hospitals typically have dedicated perinatal-addiction coordinators.

Do Alabama MAT programs offer trauma-specific counseling?

Yes. Many Alabama programs employ trauma-informed clinicians trained in EMDR, TF-CBT, or Seeking Safety. Trauma and OUD frequently co-occur; dual-focused counseling improves MAT retention and reduces relapse compared to substance-use counseling alone.

Are my buprenorphine records confidential in Alabama?

Yes. Your records are protected by federal law 42 CFR Part 2, which is stricter than HIPAA. Disclosure requires your signed consent or a specific court order; even law enforcement cannot access records without one of these.

Other Treatment Options in Alabama

Buprenorphine Treatment in Other States

Medically Reviewed Updated May 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)