Buprenorphine Treatment Centers in Hawaii
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 52 buprenorphine providers across Hawaii, with the largest concentrations in Kaneohe (3), Honolulu (3) and Kailua Kona (2).
Hawaii reported 320 drug overdose deaths in 2023 — a 21.4-per-100,000 age-adjusted rate, lower than the national average — but inter-island geography makes consistent buprenorphine access uniquely difficult. Only 4 SAMHSA-certified Opioid Treatment Programs operate in the entire state, all on Oahu and Hawaii Island, so residents of Maui, Kauai, Molokai, and Lanai often depend entirely on telehealth-delivered MAT. NWVCIL's directory tracks 11 buprenorphine providers in Hawaii — 3 in Honolulu, 3 in Kaneohe, and 2 in Kailua Kona. Notably, 81 of 90 verified facilities (90%) offer telehealth, the second-highest ratio in the U.S. after Alaska. Med-QUEST, Hawaii's Medicaid program, covers buprenorphine and naltrexone on all plans without prior authorization. Methadone access is limited to the small Oahu and Hawaii Island OTP network and is generally covered through enrolled providers. Med-QUEST expanded telehealth reimbursement for buprenorphine induction specifically to improve neighbor-island access, and patients on Maui or Kauai typically begin treatment via video with an Oahu prescriber, then maintain monthly check-ins remotely while a local primary-care doctor or community health worker handles in-person follow-up. For Hawaiians starting buprenorphine, the practical first step is to call your Med-QUEST plan's behavioral-health line for a same-day referral or contact the Hawaii Department of Health Alcohol and Drug Abuse Division for direct intake. Suboxone, Subutex, and Zubsolv are routinely prescribed; long-acting Sublocade is available but typically reserved for patients already stable on sublingual buprenorphine. SAMHSA's national helpline (1-800-662-4357) and the 988 Suicide and Crisis Lifeline are available 24/7 for confidential support and referral.
Treatment landscape in Hawaii:
- Hawaii recorded 320 drug overdose deaths in 2023 at 21.4 per 100,000 (CDC NCHS).
- 11 buprenorphine providers and 4 methadone Opioid Treatment Programs serve the state, mostly on Oahu and Hawaii Island.
- Med-QUEST covers buprenorphine and naltrexone on all plans; methadone access is geographically limited.
- 81 of 90 verified facilities offer telehealth therapy — Med-QUEST expanded telehealth reimbursement to improve neighbor-island MAT access.
Buprenorphine in Hawaii — By the Numbers
21.4
per 100,000 drug overdose mortality (CDC 2023)
320
total overdose deaths in Hawaii (2023)
11
buprenorphine providers in our directory
81 / 90
facilities offering telehealth
31
accept Medicaid for treatment
4
SAMHSA-certified Opioid Treatment Programs
Top cities by buprenorphine provider density
Honolulu (3) · Kaneohe (3) · Kailua Kona (2)
Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026
Med-QUEST
Med-QUEST covers buprenorphine and naltrexone on all plans; methadone access is limited to a small number of OTPs on Oahu and Hawaii Island.
State regulations
Hawaii has among the fewest OTPs per capita; Med-QUEST expanded telehealth reimbursement for buprenorphine induction to improve neighbor-island access.
How to access MAT in Hawaii
Neighbor-island residents (Maui, Kauai, Molokai, Lanai) typically begin MAT via Med-QUEST-reimbursed telehealth induction with an Oahu prescriber.
- Cash or self-payment11
- Private health insurance10
- Medicaid8
- State-financed health insurance plan other than Medicaid7
- Federal, or any government funding for substance use treatment programs5
- Federal military insurance (e.g., TRICARE)5
- Intensive outpatient treatment7
- Outpatient7
- Regular outpatient treatment7
- Long-term residential6
- Residential/24-hour residential6
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Buprenorphine Treatment Providers in Hawaii
Buprenorphine providers in Hawaii

Hawaii Island Recovery
Kailua Kona, HI
Services:

Ku Aloha Ola Mau
Honolulu, HI
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Queens Medical Center
Honolulu, HI
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Ku Aloha Ola Mau
Hilo, HI
Services:

Ohana Addiction Treatment Center
Kailua Kona, HI
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Poailani Inc
Kaneohe, HI
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Poailani Inc
Kailua, HI
Services:

Poailani Inc
Kaneohe, HI
Services:

Salvation Army Fam Treatment Services
Honolulu, HI
Services:
Showing 11 of 52 buprenorphine providers in Hawaii. Browse all centers in Hawaii
Frequently Asked Questions About Buprenorphine in Hawaii
Is buprenorphine only for heroin or fentanyl use, or does it also treat prescription opioid dependence?
buprenorphine is approved for opioid use disorder involving any opioid — heroin, fentanyl, prescription oxycodone, hydrocodone, or morphine. Hawaii clinicians treat patients whose OUD started with a pain prescription just as readily as those using illicit opioids.
Do buprenorphine providers in Hawaii offer sliding-scale fees?
Many Hawaii community behavioral-health agencies and federally qualified health centers offer sliding-scale fees based on household income. Sliding-scale fees commonly bring a weekly methadone visit down to $5–$25. Ask buprenorphine providers in your area about discounted rates when you call.
Does Med-QUEST cover buprenorphine treatment?
Yes. Med-QUEST covers FDA-approved medications for opioid use disorder, including buprenorphine, plus the associated counseling, drug testing, and clinic visits. Specific formulary details (preferred agents, long-acting injectables) vary by plan — check with your Med-QUEST managed-care organization.
Does Blue Cross Blue Shield cover buprenorphine in Hawaii?
Yes. Blue Cross Blue Shield plans in Hawaii cover all three FDA-approved MAT medications. BCBS typically requires the provider to be in-network; most major buprenorphine providers in Kaneohe and across Hawaii accept BCBS.
What documentation does a Hawaii buprenorphine clinic keep about me?
Clinics maintain a confidential medical record covering diagnosis, treatment plan, drug screens, counseling notes, and dose history. Records are protected by 42 CFR Part 2 — stricter than HIPAA — and cannot be released without your written consent or a specific court order.
Can I move from methadone to buprenorphine or vice versa?
Yes. Cross-titration between methadone and buprenorphine is a routine clinical maneuver in Hawaii. Transfer from methadone to buprenorphine is technically more challenging (risk of precipitated withdrawal) and usually requires a structured micro-induction protocol supervised by an experienced clinician.
What documents do I need to start buprenorphine?
Bring a photo ID, insurance or Med-QUEST card (if applicable), and a list of current medications. Proof of address and pharmacy information speed up buprenorphine prescribing. Intake staff will walk you through paperwork at your first visit.
Can I drive myself home from the first buprenorphine dose in Hawaii?
Hawaii programs generally recommend arranging a ride for the first induction visit, since initial drowsiness is common. After the first 1–2 weeks at a stable dose, patients typically resume driving and most daily activities without restriction.
Is long-term buprenorphine safe?
Yes. Decades of research support the long-term safety of methadone, buprenorphine, and naltrexone when appropriately prescribed. Long-term MAT is associated with lower mortality, reduced infectious disease, and improved quality of life. Hawaii patients frequently remain on MAT for years without medical complications.
Will my MAT dose change during pregnancy?
Methadone doses often need increase in the third trimester due to increased metabolism; split dosing may be needed. Buprenorphine sometimes requires modest increases. Your Hawaii MAT team and OB will monitor closely and adjust dosing based on cravings and withdrawal.
Does Med-QUEST cover counseling along with buprenorphine?
Yes. Med-QUEST covers individual therapy, group sessions, and care coordination at Hawaii MAT clinics without separate deductibles in most plans. Peer-recovery support services are also covered in Hawaii.
Can my family get information about my buprenorphine treatment without my consent?
No. Your Hawaii clinic cannot share any information with family members without a signed release specifying who, what information, and for how long. Patients under 18 may have parental involvement requirements — rules vary.
Other Treatment Options in Hawaii
Buprenorphine Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)

