Buprenorphine Treatment Centers in North Dakota
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 35 buprenorphine providers across North Dakota, with the largest concentrations in Fargo (7), Bismarck (4) and Grand Forks (3).
Buprenorphine (Suboxone, Subutex, Sublocade, Zubsolv) is a partial opioid agonist that reduces cravings and withdrawal symptoms for opioid use disorder. It can be prescribed in outpatient settings by qualified clinicians.
Treatment landscape in North Dakota:
- North Dakota Medicaid covers addiction treatment
- Community-focused recovery programs
- Specialized programs for rural populations
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Buprenorphine providers in North Dakota
Fargo · 7 centers

Fargo VA Healthcare System
Fargo, ND
Services:

ShareHouse Inc
Fargo, ND
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Saint Genevieves Place at
Fargo, ND
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ShareHouse Inc
Fargo, ND
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ShareHouse Inc
Fargo, ND
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Southeast Human Service Center
Fargo, ND
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Bismarck · 4 centers

West Central Human Service Center
Bismarck, ND
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Grand Forks · 3 centers

Sharehouse Grand Forks
Grand Forks, ND
Services:
Cando · 1 center
Dickinson · 1 center

Badlands Human Service Center
Dickinson, ND
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Larimore · 1 center
Showing 17 of 35 buprenorphine providers in North Dakota. Browse all centers in North Dakota
North Dakota Medicaid
North Dakota Medicaid covers buprenorphine and naltrexone; methadone is covered at the state’s small number of licensed OTPs.
State regulations
North Dakota relies heavily on buprenorphine OBOT prescribing; the state Department of Health and Human Services licenses OTPs.
- Cash or self-payment17
- Federal military insurance (e.g., TRICARE)17
- Private health insurance17
- Federal, or any government funding for substance use treatment programs16
- Medicaid15
- Medicare13
- Outpatient13
- Outpatient methadone/buprenorphine or naltrexone treatment13
- Regular outpatient treatment10
- Intensive outpatient treatment9
- Outpatient day treatment or partial hospitalization7
Frequently Asked Questions About Buprenorphine in North Dakota
Do I need a formal OUD diagnosis before starting buprenorphine?
Yes. Providers in North Dakota must document a current OUD diagnosis to prescribe buprenorphine as part of medication-assisted treatment. The intake assessment typically takes 60–90 minutes and includes a physical exam, drug screen, and psychiatric history — results are used to confirm eligibility.
How much does buprenorphine treatment cost in North Dakota?
Self-pay monthly cost for buprenorphine in North Dakota typically ranges from $150 to $700, depending on medication, counseling intensity, and whether lab work is included. Long-acting injectables (Sublocade, Vivitrol) billed without insurance can exceed $1,500 per dose. Most patients pay far less through insurance or North Dakota Medicaid.
Do North Dakota Medicaid members pay for drug screens?
No. Drug screens performed as part of an MAT program are covered by North Dakota Medicaid without an additional patient copay. The clinic bills North Dakota Medicaid directly; patients should not receive separate drug-screen bills.
Will UnitedHealthcare or Aetna cover buprenorphine?
Yes. Both UnitedHealthcare and Aetna cover the MAT benefit in North Dakota, including buprenorphine. Verify in-network providers and whether long-acting injectables require prior authorization; patient-advocate lines can confirm network status before you schedule.
Is buprenorphine covered under North Dakota’s Good Samaritan law?
North Dakota’s Good Samaritan law provides immunity from low-level drug-possession prosecution when someone seeks help for an overdose. MAT enrollment is not penalized; North Dakota specifically prohibits probation or family court from forcing patients to stop buprenorphine.
What is the average length of stay at buprenorphine providers in North Dakota?
Nationwide average MAT retention is about 6–18 months; the strongest outcomes occur in patients retained beyond 12 months. North Dakota State Opioid Response data reports rising average retention since 2021 as hub-and-spoke models mature.
Can I walk in without an appointment to a North Dakota buprenorphine clinic?
Many North Dakota OTPs and low-barrier clinics accept walk-ins during intake hours. Others require an appointment; call first to confirm. Walk-in availability is most common at federally qualified health centers and State Opioid Response–funded bridge clinics.
Will I feel high or sedated after the first buprenorphine dose?
Most patients feel calm relief of withdrawal rather than euphoria. Mild drowsiness is common the first day; avoid driving or operating machinery until you know how you react. Severe sedation is rare and warrants a call to the North Dakota clinic.
Can I drink alcohol on buprenorphine?
Combining alcohol with methadone or buprenorphine increases sedation and respiratory-depression risk; avoidance is strongly recommended. Naltrexone treats alcohol use disorder directly and is not impaired by occasional drinking, but heavy drinking can still cause liver harm. Be honest about use with your North Dakota clinician.
Can I deliver at any North Dakota hospital if I’m on buprenorphine?
Yes. All North Dakota birthing hospitals are equipped to care for MAT patients. Choosing a hospital with a dedicated perinatal-addiction protocol — often larger urban hospitals — can improve experience. Discuss delivery location with your OB and MAT team well before the due date.
Will my counseling sessions be confidential?
Yes — counseling records are protected by 42 CFR Part 2 and HIPAA. The counselor cannot disclose your MAT status or session content to family, employer, or law enforcement without your specific written consent or a narrowly tailored court order.
What rights do I have if my records are disclosed improperly?
Improper disclosure of your records under 42 CFR Part 2 can be grounds for federal complaint and civil damages. File complaints with SAMHSA, the HHS Office of Civil Rights, and North Dakota’s behavioral-health licensing agency. An attorney can advise on civil remedies.
Other Treatment Options in North Dakota
Buprenorphine Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)



