Buprenorphine Treatment Centers in Virginia
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 185 buprenorphine providers across Virginia, with the largest concentrations in Richmond (11), Arlington (9) and Winchester (7).
Virginia recorded 2,480 drug overdose deaths in 2023 — a 28.5-per-100,000 age-adjusted rate — and the state has built one of the country's most comprehensive Medicaid MAT benefits: the Addiction and Recovery Treatment Services (ARTS) benefit under Cardinal Care (the renamed Medicaid program, formerly Medallion / CCC Plus). ARTS funds same-day buprenorphine starts at Federally Qualified Health Centers and Community Services Boards in all 40 health districts, plus peer-recovery support and care coordination. NWVCIL's directory tracks 133 buprenorphine providers in Virginia, with 7 each in Arlington and Richmond, and 5 in Galax. Cardinal Care covers methadone, buprenorphine, and naltrexone with no prior authorization under ARTS. 161 of the 181 verified facilities in our directory accept Medicaid, and 143 offer telehealth. The Virginia Department of Behavioral Health and Developmental Services licenses 30 SAMHSA-certified Opioid Treatment Programs and accredits the 40 Community Services Boards that deliver public behavioral-health services regionally. For a Virginian starting buprenorphine, common pathways include: an intake at the Community Services Board covering your county or city (the most common path for Medicaid members), a private MAT clinic in Richmond, Virginia Beach, Roanoke, or the DC suburbs, a Federally Qualified Health Center for sliding-fee or Cardinal Care patients, an OTP for combined methadone-or-buprenorphine programs, or a telehealth visit with a Virginia-licensed prescriber. Most providers can prescribe Suboxone, Subutex, Zubsolv, or the monthly Sublocade injection. The Virginia Crisis Connect line (988), SAMHSA's national helpline (1-800-662-4357), and the 988 Suicide and Crisis Lifeline are available 24/7.
Treatment landscape in Virginia:
- Virginia recorded 2,480 drug overdose deaths in 2023 at 28.5 per 100,000 (CDC NCHS); opioid deaths fell -44% from 2023 to 2024 (KFF analysis), one of the largest U.S. declines.
- 133 buprenorphine providers and 30 methadone Opioid Treatment Programs serve the state; Arlington, Richmond, and Galax anchor access.
- Cardinal Care covers MAT including peer-support services under the Addiction and Recovery Treatment Services (ARTS) benefit.
- ARTS expanded MAT access across all provider levels since 2017 under DBHDS oversight.
Buprenorphine in Virginia — By the Numbers
28.5
per 100,000 drug overdose mortality (CDC 2023)
2,480
total overdose deaths in Virginia (2023)
133
buprenorphine providers in our directory
143 / 181
facilities offering telehealth
161
accept Medicaid for treatment
30
SAMHSA-certified Opioid Treatment Programs
Top cities by buprenorphine provider density
Arlington (7) · Richmond (7) · Galax (5)
Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026
Cardinal Care
Cardinal Care (formerly Medallion/CCC Plus) covers MAT including peer-support services under the ARTS (Addiction and Recovery Treatment Services) benefit.
State regulations
Virginia Department of Behavioral Health and Developmental Services licenses OTPs; ARTS expanded MAT access across all provider levels since 2017.
How to access MAT in Virginia
The ARTS benefit funds same-day buprenorphine starts at Federally Qualified Health Centers and Community Services Boards in all 40 health districts.
- Cash or self-payment180
- Private health insurance175
- Medicaid163
- Medicare127
- Federal military insurance (e.g., TRICARE)127
- Federal, or any government funding for substance use treatment programs85
- Outpatient167
- Regular outpatient treatment145
- Outpatient methadone/buprenorphine or naltrexone treatment143
- Intensive outpatient treatment80
- Outpatient day treatment or partial hospitalization36
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Buprenorphine Treatment Providers in Virginia
Buprenorphine providers in Virginia
Richmond · 11 centers
Richmond Behavioral Health Authority
Richmond, VA
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Daily Planet Health Services
Richmond, VA
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Family Counseling Center for Recovery
Richmond, VA
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Avenues Recovery Center at Richmond
Richmond, VA
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Family Counseling Center for Recovery
Richmond, VA
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Recoverable LLC
Richmond, VA
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Richmond Treatment Center
Richmond, VA
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True Counseling Services Inc
Richmond, VA
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Richmond Southside Treatment Center
Richmond, VA
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Henrico Area Mental Health and
Richmond, VA
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Arlington · 9 centers
Arlington Recovery Center
Arlington, VA
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National Capital Trt and Recovery
Arlington, VA
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Virginia Hospital Center
Arlington, VA
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Virginia Hospital Center
Arlington, VA
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Encore Outpatient Services
Arlington, VA
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Kolmac Integrated Behavioral Health
Arlington, VA
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National Capital Trt and Recovery
Arlington, VA
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Arlington County Community Servs Board
Arlington, VA
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Lynchburg · 7 centers
Centra Medical Group Addiction Trt Ctr
Lynchburg, VA
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Lynchburg Comprehensive Treatment Ctr
Lynchburg, VA
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Pathways
Lynchburg, VA
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Addiction Allies LLC
Lynchburg, VA
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Virginia Beach · 7 centers
Aviv Recovery
Virginia Beach, VA
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Milestone Treatment Center
Virginia Beach, VA
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Virginia Beach Psychiatric Center
Virginia Beach, VA
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BHG Virginia Beach Treatment Center
Virginia Beach, VA
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Tidewater Psychotherapy Services
Virginia Beach, VA
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Sandstone Care Virginia Beach
Virginia Beach, VA
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Williamsburg · 7 centers
Williamsburg Place
Williamsburg, VA
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Bacon Street Youth and Family Services
Williamsburg, VA
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Faith Recovery
Williamsburg, VA
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Faith Recovery
Williamsburg, VA
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Faith Recovery
Williamsburg, VA
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Faith Recovery
Williamsburg, VA
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Colonial Behavioral Health
Williamsburg, VA
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Winchester · 7 centers
Bridging the Gaps Inc
Winchester, VA
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VAMED Health Group LLC
Winchester, VA
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Northwestern Community Services
Winchester, VA
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Northwestern Community Services Board
Winchester, VA
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Winchester Comprehensive Treatment Ctr
Winchester, VA
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Roanoke · 6 centers
Blue Ridge Behavioral Healthcare
Roanoke, VA
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Pinnacle Treatment Services of Roanoke
Roanoke, VA
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Intercept True North Health Clinic
Roanoke, VA
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Blue Ridge Behavioral Healthcare
Roanoke, VA
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Kuumba Comm Health/Wellness Ctr Inc
Roanoke, VA
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Danville · 5 centers
Epic Health Partners
Danville, VA
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Danville Pittsylvania Community Servs
Danville, VA
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Galax · 5 centers
Galax Treatment Center Inc
Galax, VA
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Sobrius Curae
Galax, VA
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Alexandria · 4 centers
Fairfax/Falls Church Comm Servs Board
Alexandria, VA
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Alexandria Community Services Board
Alexandria, VA
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Sandstone Care Alexandria
Alexandria, VA
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South County Youth Services
Alexandria, VA
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Chantilly · 4 centers
Fairfax/Falls Church Comm Servs Board
Chantilly, VA
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Fairfax/Falls Church Comm Servs Board
Chantilly, VA
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Fairfax/Falls Church Comm Servs Board
Chantilly, VA
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Sandstone Care Detox Center
Chantilly, VA
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Fairfax · 4 centers
Fairfax/Falls Church Comm Servs Board
Fairfax, VA
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Inova Behavioral Health MH and
Fairfax, VA
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Inova CATS Program
Fairfax, VA
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Fredericksburg · 4 centers
Rappahannock Area Comm Servs Board
Fredericksburg, VA
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Conscious Healing Inc
Fredericksburg, VA
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Spotsylvania Regional Medical Center
Fredericksburg, VA
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Family Counseling Center for Recovery
Fredericksburg, VA
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Charlottesville · 3 centers
Addiction Recovery Systems LLC
Charlottesville, VA
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Addiction Allies LLC
Charlottesville, VA
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Region Ten Community Services Board
Charlottesville, VA
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Chesapeake · 3 centers
BHG Chesapeake South Treatment Center
Chesapeake, VA
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BHG Chesapeake Treatment Center
Chesapeake, VA
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Chesapeake Integrated Behavioral Hlth
Chesapeake, VA
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Culpeper · 3 centers
Culpeper Treatment Services
Culpeper, VA
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Encompass Comm Supports
Culpeper, VA
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Advanced Medical Sports and Spine PLLC
Culpeper, VA
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Henrico · 3 centers
Next Frontier Recovery LLC
Henrico, VA
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Dominion Care
Henrico, VA
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Henrico Area Mental Health and
Henrico, VA
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Martinsville · 3 centers
Piedmont Community Services
Martinsville, VA
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Newport News · 3 centers
Pyramid Healthcare
Newport News, VA
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BHG Newport News Treatment Center
Newport News, VA
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Pinnacle Treatment Centers
Newport News, VA
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Norfolk · 3 centers
GHR Center
Norfolk, VA
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Avenues Recovery Center at Norfolk
Norfolk, VA
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Norfolk Community Services Board
Norfolk, VA
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Petersburg · 3 centers
Crossroads Treatment Centers
Petersburg, VA
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Poplar Springs Hospital
Petersburg, VA
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Salem · 3 centers
Veterans Affairs Medical Center
Salem, VA
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Center for Emotional Care
Salem, VA
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Suffolk · 3 centers
Western Tidewater Community Services
Suffolk, VA
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Western Tidewater Community Services
Suffolk, VA
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Woodbridge · 3 centers
Center for Behavioral Health LLC
Woodbridge, VA
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Prince William County
Woodbridge, VA
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Washington Behavioral Health
Woodbridge, VA
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Annandale · 2 centers
Recovery Unplugged
Annandale, VA
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Ashburn · 2 centers
Insight Into Action Therapy
Ashburn, VA
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Insight Recovery Centers
Ashburn, VA
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Blacksburg · 2 centers
New River Valley Community Services
Blacksburg, VA
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SaVida Health
Blacksburg, VA
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Christiansburg · 2 centers
Carilion New River Valley Medical Ctr
Christiansburg, VA
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Christiansburg Comprehensive Trt Ctr
Christiansburg, VA
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Front Royal · 2 centers
Pinnacle Treatment Centers VA LLC
Front Royal, VA
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Northwestern Community Services Board
Front Royal, VA
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Glen Allen · 2 centers
Master Center for Addiction Medicine
Glen Allen, VA
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Sandstone Care Richmond
Glen Allen, VA
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Gloucester · 2 centers
Bacon Street Youth and Family Services
Gloucester, VA
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Middle Peninsula/Northern Neck CSB
Gloucester, VA
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Jonesville · 2 centers
Jonesville VA Clinic
Jonesville, VA
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Frontier Health
Jonesville, VA
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Manassas · 2 centers
Woodbridge Methadone Treatment Center
Manassas, VA
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Prince William County
Manassas, VA
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Parksley · 2 centers
Eastern Shore Behavioral Hlthcare Ctr
Parksley, VA
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Eastern Shore Community Services Board
Parksley, VA
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Staunton · 2 centers
Valley Community Services Board
Staunton, VA
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BHG Staunton Treatment Center
Staunton, VA
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Vienna · 2 centers
Fairfax/Falls Church Comm Servs Board
Vienna, VA
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Abingdon · 1 center
Highlands Community Services
Abingdon, VA
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Bassett · 1 center
Big Stone Gap · 1 center
Frontier Health Inc
Big Stone Gap, VA
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Bristol · 1 center
Bristol VA Clinic
Bristol, VA
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Cedar Bluff · 1 center
CMCSB
Cedar Bluff, VA
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Chatham · 1 center
Tranquility Grove
Chatham, VA
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Chesterfield · 1 center
Chesterfield Community Services Board
Chesterfield, VA
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Clintwood · 1 center
Dickenson County Behav Health Servs
Clintwood, VA
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Covington · 1 center
Alleghany Highlands Community Services
Covington, VA
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Cross Junction · 1 center
Timber Ridge School
Cross Junction, VA
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Dublin · 1 center
Dumfries · 1 center
Mainspring Recovery
Dumfries, VA
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Falls Church · 1 center
Inova CATS Program
Falls Church, VA
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Floyd · 1 center
New River Valley Community Services
Floyd, VA
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Franklin · 1 center
Goochland · 1 center
Goochland Powhatan Community Services
Goochland, VA
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Grundy · 1 center
Cumberland Mountain Comm Servs Board
Grundy, VA
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Hampton · 1 center
Hampton VAMC
Hampton, VA
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Harrisonburg · 1 center
Harrisonburg Treatment Center
Harrisonburg, VA
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King George · 1 center
Rappahannock Area Comm Servs Board
King George, VA
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Lancaster · 1 center
Lebanon · 1 center
CMCSB Russell Co
Lebanon, VA
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Lexington · 1 center
Rockbridge Area Community Servs Board
Lexington, VA
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Luray · 1 center
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Marion · 1 center
Mount Rogers Community Services Board
Marion, VA
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Mechanicsville · 1 center
Virginia Recovery Centers
Mechanicsville, VA
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Milford · 1 center
Warriors Heart Virginia
Milford, VA
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Norton · 1 center
Groups Recover Together
Norton, VA
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Pearisburg · 1 center
New River Valley Community Services
Pearisburg, VA
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Portsmouth · 1 center
Dept of Behavioral Healthcare Services
Portsmouth, VA
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Pounding Mill · 1 center
Healtop Healthcare LLC
Pounding Mill, VA
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Powhatan · 1 center
Goochland Powhatan Community Services
Powhatan, VA
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Providence Forge · 1 center
Henrico Charles City
Providence Forge, VA
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Pulaski · 1 center
New River Valley Community Services
Pulaski, VA
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Reston · 1 center
Sandstone Care
Reston, VA
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Rocky Mount · 1 center
Piedmont Community Services
Rocky Mount, VA
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Ruther Glen · 1 center
Rappahannock Area Comm Servs Board
Ruther Glen, VA
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South Boston · 1 center
Southside Behavioral Health
South Boston, VA
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Spotsylvania · 1 center
Rappahannock Area Comm Servs Board
Spotsylvania, VA
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Stafford · 1 center
Rappahannock Area Comm Servs Board
Stafford, VA
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Stuart · 1 center
Piedmont Community Services
Stuart, VA
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Tappahannock · 1 center
Middle Peninsula/Northern Neck CSB
Tappahannock, VA
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Vansant · 1 center
Vansant VA Clinic
Vansant, VA
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Vinton · 1 center
Support Systems Inc
Vinton, VA
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Warrenton · 1 center
Encompass Community Supports
Warrenton, VA
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Weber City · 1 center
Frontier Health Inc
Weber City, VA
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Wytheville · 1 center
Mount Rogers Community Services Board
Wytheville, VA
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Yorktown · 1 center
Colonial Behavioral Health
Yorktown, VA
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Frequently Asked Questions About Buprenorphine in Virginia
Who is eligible for buprenorphine treatment in Virginia?
Adults with a clinical diagnosis of opioid use disorder (OUD) are eligible for buprenorphine treatment in Virginia. A licensed clinician confirms the diagnosis during intake using DSM-5 criteria, and the provider verifies identity and medical history before the first dose or injection.
How much does buprenorphine treatment cost in Virginia?
Self-pay monthly cost for buprenorphine in Virginia 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 Cardinal Care.
Can I keep the same buprenorphine provider when I switch Cardinal Care plans?
Usually yes, if your provider is in-network with the new plan. Virginia MAT clinics typically contract with all major Cardinal Care managed-care organizations. Verify the provider’s network status before the effective date of your new plan to avoid interruption.
Does COBRA cover buprenorphine in Virginia?
Yes. COBRA continues your former employer’s health plan unchanged for up to 18 months, including MAT benefits. The monthly COBRA premium is higher than a marketplace plan for most people; explore Marketplace options too before the 60-day COBRA deadline.
Does Virginia allow telehealth induction for MAT?
Yes. DEA rules were permanently expanded in 2024 to allow audio-video telehealth for initial buprenorphine prescribing, and Virginia law mirrors federal policy. Methadone induction still requires an in-person visit at an OTP for the first dose, though subsequent counseling can be delivered via telehealth. Naltrexone can be prescribed via telehealth with labs done in Virginia.
Does length of treatment with buprenorphine affect outcomes?
Yes. Meta-analyses consistently find that patients who remain on MAT longer than 12 months have lower rates of relapse, infectious disease, and overdose death. Virginia Medicaid-funded programs report improved retention with long-acting injectables compared to sublingual treatment.
What if I’m in withdrawal right now — where do I go in Virginia?
Go to the nearest emergency department; Virginia hospitals are equipped to initiate buprenorphine and connect you to outpatient MAT. You can also call 988 for a live counselor to locate an open bridge clinic or mobile MAT unit.
Will I get medication on the first day of buprenorphine?
Usually yes. Virginia programs following low-barrier protocols provide the first buprenorphine dose or naltrexone prescription on day one. Methadone first doses are administered in-clinic and require SAMHSA-certified protocols that are typically completed during the intake visit.
Are there allergic reactions to buprenorphine?
True allergic reactions to methadone, buprenorphine, or naltrexone are rare. Rash, swelling, or difficulty breathing after a dose should be treated as an emergency — call 911 or go to a Virginia emergency department. The MAT team can switch medications after stabilization.
Is buprenorphine safe during pregnancy in Virginia?
Yes. Methadone and buprenorphine are the evidence-based standard of care in pregnancy, endorsed by ACOG and SAMHSA. Staying on MAT protects both mother and fetus; unmedicated withdrawal is riskier than continued MAT. Virginia providers coordinate care with obstetrics.
What happens in buprenorphine counseling sessions?
Sessions cover craving management, relapse-prevention skills, coping strategies, relationship issues, trauma processing if relevant, and goal setting for recovery. The counselor and client collaborate on a written treatment plan that is updated every 30–90 days in Virginia.
Can I travel internationally with buprenorphine from Virginia?
Yes, with proper documentation. Bring a letter from your Virginia MAT prescriber, medication in its original pharmacy container, and check destination-country rules — some countries restrict methadone and buprenorphine. The International Narcotics Control Board maintains destination-country guidance.
Other Treatment Options in Virginia
Buprenorphine Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)